Meter Swap Request Number: 6286
Public Works Division
Service Request
Problem Address: 6820 7th St Requested By: Jim Jachymowski
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-571-7572
Scheduled Date: 2013-06-26 Scheduled Time: 01:30:OU
,
ACTION NEEDED:AMR-2013 AMR Program
Created by: Wendy Hiatt Date Created: 2013-06-24
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
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable far the water line from the main to the premise and all irrterior plumbing. (Per City code
402.06) I also hold the City of Fndley andJits employees harmless for any damages that may occur
white doin�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.
Final meter readin (old meter) ��� � ��a
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Name• Address•_ � —
Phone Number Date• `� r��' ��
Signature:
Witness Signature:
FRIDLEY Cl
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIaN
(Ref Ord No 113,464,555,566r 629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Priar to constructing or repair of any water or sewer line connecting the existing municipal system and any hou5e
or buiiding for which the application is made,the owner or cantractor shall be required to obtain a permit for such
connection,and shail 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. ft shall be unlawfui to cover any connecting line until an
inspection has been made and such cannection and the wo�k incident thereto has been approved by the City as a
propec and suitable connedion.
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 has been extended to the property line for connection,the appticant,owner,
or the occupant or user of such premises shali be liable far all repairs required ta any water line and sewer lines
necessary for connection of the premises fram the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shal{be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. It shall be the responsibility of the appticant,owner,occupant or user to perform standard maintenance af
� 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 will ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191�