Meter Swap Req uest N u m ber: 8057
Public Works Division
Service Request
Problem Address: 401 67th Av�e Requested By: Dan Majkrzak
Department: WATER /kldress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 571-5277
Scheduled Da : 2014-0 13 � Scheduled Time: 01:00:00
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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 b :
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- City of Fridley
Water Department _ .
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 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 iimited to;valves,pipin8,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
necessary. ��
Finai meter reading(old meter) 1 � �� �
Name•
Address• ��� l��� �v�
Phone Number• Date• �^'�r ��
r
Signature��
Witness Signaturec
( FRIDLEY 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)
402.05. 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 shail 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 5ewer 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
propec and suitable connection.
402.d6. REPAIRS AND MAtNTENANCE 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 shail 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 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, including any 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 cuttin�and to maintain the �
water service curb stop box for operability and at such height as wil(ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)