Meter Swap Request Number: 8051
Public Works Division
Service Request
Problem Address: 355 66th Av�e Requested By: Lowell McGregor
Department: WA'iER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 571-1016
Scheduled Date: 2014-0,�? � Schedu(�d T�me. 11:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-11
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
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owne�
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06j 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,walis,floors or the curb
stop box and service tine. I understand I am atso required to obtain a permit priar to any work,if
necessary.
Final meter reading�old meter) �� � v O
Name: Address• .,��� ���� �VL
Phone Number. Date: ""y l �— `�
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Signature:
Witness Signature:
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FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565, 566,629,638,662,922,988, 1144, 1156, 1191)
402.05.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 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 connedion 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 initia{connection has been made to the water senrice 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 shall be liable far all repairs required to any water line and sewer lines
necessary for connection of the premises ftom the main to the premises. If the propetty 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, inciuding any necessary street repairs,at a rate set annua{ly by an administfative
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 operabifity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)