Meter Swap Request Number: 8169
Public Works Division
Service Request
Problem A�ddress: 471 671h Av�e Requested By: Luella Fenske
Department: WATER A�ddress: No address provided
Problemflssue: INSTALLAMR METER Phone Number: 571-2861
Scheciuled Date: 201406-24 S�heduled Time: 09:00•00
T-� '
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 20140fr20
ACTION TAKEN: •
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
_a�� � �� ,��
, - City af Fridley
- ` --- Water Department - --_. -
� 6431 University Avenue NE
Fridley,MN 55432
(763}57Z-3566
��We hereby authorize the City of fridiey and/or its
emp{oyees to do what is necessary to replace the water meter. t understand that the property owner
is liable for the water line from the main to the premise and atl interior p1umbing. (Per City code
4�2.06) !,also hold the C'ity af Fridiey and/i#s employees harmiess for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,wa�ls,floors or the curb
stop box and service line. i understand 1 arri also required to obtain a permit p�ior to any work,if
necessary. � �
final meter reading(old mete�) � �
Name• Address: L�� ���'�"� .
Phone Number Date: ����"1�
� Signature: � L�� �
Witness Signature:
FRIDLEY CiTY CODE
CHAPT�R 402.WATER,ST�RM 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 ar 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
connectian,and shall pay a permit fee as provided'+n Chapte�11 of this Cade. After such connection has been
made,the Water and Sewer Department shalf be notified. ft shall be untawfu{to cover any cannecting 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 b�x or the sewer lead at the property
line or a water service or sewe�lead has been e�ctended to the property line for connection,the a.pplicant,owFler,
or the oecupant or user of such premises shat{be liable for al{repairs required to any water line and sewer Itnes
necessary for connection of the premises from the main to the premises. If the prop�rty owner requests
maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the
maintenance and/or repairs, inc{uding any necessary street repairs,at a rate set annually by aa administrative
policy. It shall be the responsibilit�of the appficant,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 ahove the finished
grade of the land or property. (Ref 638,1156,1191)