Meter Swap � . �
Request Number: 7069
Public Works Division
Service Request �`C��`�,�„��
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Problem Address: 860 66th Av�e Requested By: Homeowner
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number:
Scheduled Date: 2013-09-27 Scheduled Time: 01:30:00
ACTION NEEDED: 2013 AMR �l L.L ��j� rn�� /���^�
Created by: Wendy Hiatt Date Created: 2013-09-27
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Compieted: Completed by:
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- City of Fridley u
Water Department ��l ���-��
6431 University Avenue NE �
Fridley,MN 55432
(763)572-3566 �� '��l"Ja��
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��We hereby authorize the City of Fridley andior its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City wde
402.06) I aiso hold the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limfted to;va{ves,piping,wa11s,fluars or the curb
stop box and service line. 1 understand I am alsa required to obtain a permit prior to any work,if
necessary.
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Final metec reading(old meter) �
Name•
�1`,/� �',J��r Address. Z'1 F-'�--'" ��p�—��
Phone Number ���— ���'" yl�(: ^'a��• `��� ��
Signature:� � --'-�
Witness Signature: .,,.
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building foc which the application is made,the owner or cantractor shail 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.Q6.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 applicant,owner,
or the occupant or user of such premises shall be liable far atl repairs required to any water line and sewer fines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shati be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an adminisCrative
policy. {t shall be the responsibility of the applicant,owner,occupant or user to pe�form standard maintenance of
• the sewer service line from the premises to the main inciuding 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)