Meter Swap ,
Request Number: 8116
Public Works Division
Service Request
Problem Address: 513 Rice Creek Terrace Requested By: Edward Sadrai
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 612-802-2997
Scheduled Date: 2014-06-20 Scheduled Time: 08:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: • 201406-17
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
, Water Department , _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
���ye hereby authorize the City of Fridley and/or its
employees to do what is necessary to repface tMe water meter. 1 understand that the property 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 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,walis,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.
Flnal meter reading(oid meter) `�' �� � �� v
Name• Address•_ ;) � J �-1 C't'�r('t'�l' �-Y,/'/�t'�
. oate• .�'20- r`(
Phone Number•
Stgnature• �1.�,��� �� � ,
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
e102.05. PERMIT FEE
Prior to canstructing or repair of any water or sewer line connecting the existing municipal system and any house
ar 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 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 initial 4onnection 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 appficant,owner,
or the occupant or user of such premises shail be liabie for all repairs required to any water fine and sewer fines
necessary for connection of the premises from the main to the premises, if the prope[ly owner requests
maintenance service or repairs be performed by the City,the property owner sfiall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualfy by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service fine from the premises to the main inc{udin�debris cleari�g or root cutting and to maintain the
water service curb stop box for operability and at such height as wil!ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)