Meter Swap Request Number: 14502
Public works Division
Service Request
Problem Address: 5924 Oakw�od Manor Requested By: Jolm Cuneron
Department: WAZER Address: No address provided
Problem/Issue: IN5TALL AMR METER Phone Number: 763-291-0575
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Schednled Date: 2017-04-08 Sc6eduled 1lme: 01:00:00
ACIION NEEDED:
Created by: Beth Ko�rick Date Created: 2017-04-04
ACl10N TAi�PI:
Stxtus: In Progress 5nbmitter Has Been �..
Contacted
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Date Completed: Compteted by:
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City of Fridley J d � "�`t 3�
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
UWe hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable far the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,wa{Is,f{oors or the curb stop box and servite iine. In understand t am also required
to obtain a permit prior to any work,if necessary.
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Phone Number {�'J��t'"� i� Date ��l��l
Signdture Witness Signature
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FRIOLE1l CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buifding for wfiich the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection fias been made,the Water and Sewer Department shall be notrfied. 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 approved by the City as a
proper and suitabfe 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{ine or a water service lead has
been extended to the property line for connedion,tMe applicant,owner,or occupant or user of such premises shali be liable for all repairs
required to ar►y 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 shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including 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 land or property. (Ref 638,1156,1191)
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