Meter Swap � .
Request Number: 6495
Public Works Division
Service Request
Probiem Address: 6881 Madison St Requested By: Ahmed Barghout
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-571-1715
Scheduled Date: 2013-07-30 Scheduled Time: 11:30:00
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AC170N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-24
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
Fridiey,MN 55432
(763)572-3566
��We hereby authorize the�ty of Fridiey 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 hold the City of Fridley andJits employees harmfess for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walls,floars or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �
Name: Address: �.�<=� �' " ►r J��
Phone Number• Date:_ �`���'�
Signatwre• `
Witness Signature:
FRiDLEIf CITY C4DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.Q5. PERMIT FEE
Prior to const�ucting or�epair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contrador 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 shalf be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
propec and suitable connection.
4d2.06.REPAiRS AND MAINTENANCE TO CONNECflON
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 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 far connection of the premises fram the main to the premises. If the property owher requests
maintenance service or repairs be performed by the City,the properCy 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
palicy. It shalt 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 ctearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiN ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j