Meter Swap Request Number: 6229
Public Works Division
Service Req�+est
Problem Address: 6457 Ashton Ave Requested By: Anne Shafer
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 763-571-3701
Scheduled Date: 2013-06-04 Scheduled Time: 01:00:00
ACTION NEEDED: Instail AMR-she has difficuliy going down stairs.
Created by: Wendy Hiatt Date Created: 2013-06-03
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
t/we hereby authorize the City of Fridley and/ar its .
empioyees to do what is necessary to repiace the water meter. 1 understand that tfie property owner
is liabte for the water tine from the main ta the premise and all interior plumbing. (Per City t4de
402.06) I also hold the City of Fridley andJits employees harmless for any damages that may occur
white doing this operation. This to include,but not limited to;valves,piping,wafis,floors or the curb
stop box and service line. i understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � �� ��
Name: Address• � � ~-�" ' �` "'_ - —
Phane Number
Date: ��^1 �
S'sgnature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,5T�RM WATER,AND SANITARY SEWER
ADMINISTRAI'IC1N
(Ref Ord No 113,464,565,566,629,638,662,922,988.1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair ofany water or sewer line connecting the existing municipal system and any house
or buitding for which the apptication 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 il of this Code. After such connection has been
made,the Water and Sewerbepartment shaU be notified. tt shall be unlawful to cover any connecting line untii an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable connection.
4b2.D6.REPAiRS AND MA1N'i'ENANCE TO CONNECTfON
After the initial connection has been made to the water service curb stop bax or the sewer lead at the property
line or a water service ar sewer tead hasbeen extended to the property line for connect9an,the appHcant,owner,
or the occupant or user af such premises shatl be liable for ail�epairs 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 shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaNy by an administrative
policy. it shail be the responsibility of the applicant,owner,accupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris dearing or raot cutting and to maintain the
water service curb stop box for operabifity and at such height as wi{i ensure that it remains above the finished
grade af the{and or property. (Ref 638,1156,1191)