Meter Swap �
Request Number: 8101
Public Works Division
Service Request
Problem Address: 6760 4th St Requested By: Robert Baune
Department: WATER Address: No address provided
Problemflssue: INSTALLAMR METER Phone Number: 572-0508
Scheduled Date: 201406-18 y_� Scheduled Time: 10:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-06-16
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
I Date Completed: Complet d by:
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- City of Fridley
� ._. Water Department _ _ _...
6431 University Avenue NE
Fridley,MN 55432
(T63)572-3566
IJwe hereby authorize the City of Fridfey and/or its
empioyees 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 interior plumbing. (Per City code
402.05) {also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. i understand 1 am also required to obtain a permit prior to any work,if
necessary.
Fina{meter reading(old meteri . � � �/ �� � -
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Name: Address: �l)�`�v �
Phone Number• Date• `C✓� �1^ ` t
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SAN{TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191�
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contrador shalf 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 has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting iine untii an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
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 service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall 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 prope[ty owner requesis
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 any necessary street repairs,at a rate set annually by an administrative
policy. tt shall be the responsibility of the applicant,owne�,occupant or use�to pe�form standard maintenance of
° the sewer service line from the premises to the main including debris clearing or root cuttin�and to maintain the
water service curb stap box for operability and at such height as will ensuse that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)