Meter Swap Request Number: 8219
Public Works Division
Service Request
Problem Address: 640 67th Avie Requested By: Juart Escobar
Department: WATER Address: No address provided
Problemllssue: iNSTALLAMR METER Phone Number: 763-447-9451
Scheduled Date: 2014 7-01 Scheduled Time: 10:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet by:
7`/` � �
- City of Fridiey
--- Water Department _ _._ .
6431 University Avenue NE
Fridley,MN 55432
(?&3)57Z-3566
IJwe 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 owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I also hoid the City of Fridiey and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,wails,floors or the curb
stap box and service line. I understand i am alsa required to obtain a permit prior to any work,if
necessary.
Final meter readin old meter� � � � � ���
B�
Name� Address� v � ' ` � ,
Phone Number: Date:_ �!�.
Signature•
Wftness Signature:
fRIDL�Y CiTY CODE
CHAP �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 fine connecting the existing municipa{system and any fiouse
or buildi�g for which the application is made,the owner or cantractor shalf be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Cade. Aftec 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.
�OZ.06.REPAIRS AND MAINTENANCE TO CONNECi'ION
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 prop�[ty 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 repai�s,at a rate set annually by an administrative
policy. it shail be the responsibility of the applicant,owner,accupant or user to perform�tandard maintenan�e of
a the sewer service line from the premises to the main incfuding 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 above tfie finished
grade of the land or property. (Ref 638,1156,1191)