Meter Swap .
Request Number: 8000
Public Works Division
Service Request
Problem Address: 532 67th Avie Requested By: Raymond Kostelecky
Department: WATER Address: No add�ess provided
Problem/Issue: INSTALLAMR METER Phone Nurr�ber: 571-4417
Scheduled Dat . 2014-0 11 �--� eduled Time: 10:00:00
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ACTION NEEDED: 2014 AMR
.
Created by: Wendy Hiatt � Date Created: 201406-05
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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. ' - City of�ridley
• Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
f jwe hereby authorize the City of Fridfey and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liab{e for the water line frorr�tfie main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley andJits empioyees harmless for any damages that may occur
while doing this operatton. This to include,but not limited to;vaives.piping,walls,floors or the curb
stop box and service tine. I understand 1 am also required to obtain a permit prior to any work,if
necessary. � v �
Finaf ineter reading(old meter)
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Name� Address• ���- � [ � ` 1 ��
Phone Number• Date• "'��� /�
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Signature• 4— o �-
Witness Signature:
FRIDLEY CITY C4DE
CHAPTER 402.WA7ER,STORM WATER,AND SANITARY SEWER
ADMINiS7RATION
(Ref Ord No 113,464,565,566,629,63$,662,922,988, 1144, 1156, 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer tine connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shal{be required ta 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 initiai 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 shall be liable for all repairs required to any water line and sewer lines
necessary for connectian of ths premises from the main to the premises. If the propecty 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 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 cutting and to maintain the
, water service curb stop box for operabifity and at such height as wi{I ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)