Meter Swap ,
Request Number: 8088
Public Works Division
Service Request
Problem A�ddress: 420 67th Av�e Requested By: Mary Beth Bistrom
Department: WATER A�ddress: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 571-3218
Sched ed Date: 2014-06-16 �,Q,� Scheduled Time: 07:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-06-13
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete
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• - City of Fridley
WaterDepartment _._.
6431 University Avenue NE
Fridiey,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. i understand that the property owner
is liable for the water line from the main to the premise and ail interior plumbing. (Per City c4de
402.06) I also hold the City of Fridley andiits employees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walls,ftoors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final met r reading(old meter) � � ` ��
Name: Address• ��� `�� f� �L
Phone Num r. ..-._..._._.Date: . ��/�� /�
'ti
Signature•
Witness Signa re:
FRIDLEY CITY CODE
CNAPTER 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
f 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 fiee 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
propec and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cu�b 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 propetly owner requests
maintenance service or repairs be performed by the City,the property owner shai{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 ciearing 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)