Meter Swap Request Number: 8972
Pubfic works Division
Service Req�st
Problem Address: 5340 7th St Requested By: Kris Merte
Department: WATER Address: No address provided
Problem/Issue: LEAKING METER Phone Number: 612-590-5657
Scheduled Date: Scheduled T�me:
ACTION NEEDED:Leaky meter.
Created by: Wendy Hiatt Date Created: 2014-09-25
ACTION TAI�N:
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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
1/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water rneter. I understand that the property owner
is liabie for the water line frvm the main to the premise and ali interior plumbing. (Per City code
402.06) i 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 i am also required to obtain a permit prior to any work,if
�Lbj ��� necessary.
`��� g�v ter readin ald meter �� �� ` ��
Final me g( )
Name• Address•
� S3Gf0 7��s �
�-� �t ��� �Z.,r- /�
j Phone Numba Date•
l�(P��P�,�6�P �
Signature•
Witness Signature:
���j�q2 ZZS�
FRIDLEY CITY C�DE
�� CH 4Q2.WATER,STORM WATER,AND SANITARX SEWER
3�f �n��j_ ADMINISTRATION
r � ��� (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
l L�� 402.05.PERMIT FEE
" J�
y, � Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
✓� � or building for which 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 has been
made,the Water and Sewer Department 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 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 appiicant,owner,
or the occupant or user of such premises shatl be liable for ati repairs required to any water line and sewer tines
necessary for connection of the premises from the main to the premises. If the prop�[ty 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 any necessary street repairs,at a rate set annualiy by an administ�ative
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)