Meter Swap 4 ' _
Request Number: 8115
Public Works Division
Service Request
Problem Address: 497 Rice Creek Terrace Requested By: Lance Adams
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-300-2362
Scheduled Date: 2014-06 18 � Scheduled Time: 09:00:00
� �'
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-17
ACTION TAKENc
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Status: In Progress Resident Contacted 0
Date Completed: Comp ted by:
C�'����u
- City of Fridley
, ` W�#er Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to reptace the water meter. i understand that the properly owner
is liable for the water line from the main to the premise and ali interior plumbing. �Per City code
402.06) I also hold the Gty of Fridley and jits employees harmless for any damages that may accur
whife doing this operation. This to include,but not limited to;valves,piping,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.
�inal meter reading(old meter) ��v �� ( O
Name• Address• `�`�� H �-L' �� �'�'�r
Phone Number:_ Date:,_l Q�� 0��� —
Signature:
Witness Signature:
FRIDLEY CI'TY CODE
CHAPTER 402.WA7ER,STQRM WATER,ANO 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 cannecting the existing municipai system and any hous.e
or building for which the application is made,the owner or contractor sha41 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. tt shall be uniawfut 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 CONNECTtON
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 connectian,the applicant,owner,
or the accupant or user of such premises shali be liabie 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 prope[ty owner requests
rnaintenance 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 appiicant,owner,occupant or user to perform standard maintenance of
• the sewer service line fram the premises to the main includ'+ng debris ctearing 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 tand or property. (Ref 638,1156,1191)