Meter Swap �
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Request Number: 6517
Public Works Division
Service Request
Problem Address: 6860 Madison St Requested By: Lori Srykulski
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WA'fER) Phone Number: 763-300-5272
Scheduled Date: 2013-07-2 � Scheduled Time: 01:OO:OU
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt bate Created: 2013-07-26
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
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Date Completed: Completed�• '
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City of Fridley
' Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or i#s
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and afl interior ptumbing. (Per City ccde
402.06) i also hold the City of Fridley and/its employees harmless far 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. ' ��
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Final meter reading(old mete )
Name• Address• ,��� ���-'��',
Phone Number. Date: ��'�`�`-`�----- , ,
Signature:,�����' �
Witness Si�nature: ,.
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, 1156,1191j
402.05. PERMIT FEE
Prior to constructing 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 forsuch
connection,and shall pay a permit fee as provided in Chapter 11 of this Cade. Afte�such connection has been
made,the Water and 5ewer Department shali 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 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 hasbeen extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shali be liable for ati repairs required to any water line and sewer lines
necessary far connection of the premises from the main to the premises. If the property owner requesCs
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 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 line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiii ensure that it cemains above the finished
grade of the land or property. (Ref 638,1156,1191j