Meter Swap _�::�
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Request Number: 5691
Public Works Division
Service Request
Problem Address: 5972 6th St Requested By: Mary Kay Acker
Department: WATER A�ddress: No address provided
Probiemllssue: INSTALL ME'1�R(WATER) Phone Number: 763-502-9940
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ACTION NEEDED: InstailAMR� ���� ��'�`YU2- ��P�n��
Created by: Wendy Hiatt Date Created: 2013-02-15
ACTION TAKEN:
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Status: In Progress Hours:
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3556
��we hereby authorize the City of Fridiey andJor its
empioyees to do what is netessary to replace the water meter. {understand that the property owner
is liabte for the water line from the main to the premise and afi interior piumbing. (Per City code
402.06) I also hold the Gty of�ridley and/its employees harmless far any damages that may occur
while doing this operaticn. Tfiis to include,but not limited ta;vaives,piping,walfs,floors or the curb
stop box and service line. I understand 1 am atso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��
Name• Address•, `j r�� ����
Phone fVumb Date: �'"�[-��+��_------
Signature:
Witness Signat e:
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FRIDLEIf CITY Cl�DE
CHAPTER 402.WATER,S'fORM WATER,AND 5ANiTARY SEWER
ADMINISTRATION
{Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402A5.PERMiT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipa{system and any house
or buildin�for which the application is made,the owner or contractor shal{be required to obtain a permit for such
connec°tion,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 shalf be untawful to cove�any connecting line until an
inspectian has been made and such connection and the work incldent thereto has been approved by the Cit}r as a
propec and suitab{e connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectia�has been made to the water service curb stop box or the sewer{ead 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 al{repairs required to any water li�e and sewer tines
necessary for connection of the premises from the main to the premises. if the property owner requests
maintenance service ar repairs be perfarmed by the City,the property owne�shaU be charged for the casts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
po{icy. 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{uding debris ctearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wifl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j