Untitled �
e : �
G;ry of'
F�a��y
Request Number: 18005
P�iic Worka INivision
5ervlce Request
Problem Addre::: 451 54th A�e Reqnested By: Mria Figtvoa
Departmcat: WATER A�ddre:a: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Nnmber: 763-572-3918
Sc�edule e: 2018-03-30 Scl�deled 1lme: 02:00:00
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AC1iON NEEDED:AMR
Crested by: Wendy Hiatt Dnte Created: 2018-03-28
ACTION TAKEN:
Status: In Progress 5nbroitter Haa Been r
Contacted
DAte Completed: Completed by:
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5v��'2 �
' CityofFridley '�(,��y(��f1-���
I Water Department
6431 Univers�ty Avenue NE
Fridley,lUIN 55432
763-572-3566
�/We hereby authorize the C'rty of Fridley andJor its employees to do what is necessary to
replace the water meter, I understand that the property owner is liable for the water line from the main to the premise and all iriterior
piumbing. (Per C'rty code 402.06) 1 also hoid the City of Fridley andrts employees harmless for arry damages that may o�xur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name• Address i.r� ,,�`��'��-
PhoneNumber p�e 3� ,� 201�"
Signature Witness Signature
01.D METER# �S �5 � y � � SIZE & STYf.E(Circle) �
/� �;,,��.
OLD READING d� � ��.� 5/8" HE
NEW METER# ��1�SS dS-� 1" HEX
NEW READING Q Z�" ELIPTICAL or HEX
ERT# �n�3 7��(Q 7 2" ELIPTICAL or HEX
FRIDLEY CI�'Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
A�MINISTRATION
(Ref Ord No 113,4b4,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or reRair of any water of sewer li�e connecting the existing municipal system and any house or building for whPch the
appiication is made,the owner or contractor shali be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been aqproved by the City as e
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice iead has
been extended to the property line for connectiort,the applicant,owner,or occupant or user of such premises shail be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner sha!!be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. R shali be the responsibility of the applipnt,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the(and or property. (Ref 638,1156,1191)