Meter Swap �
Request Number: 6805
Pubiic Works Division
Service Request
Problem Address: 811 68th A� Requested By: Josie Millam
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WA1ER) Phone Number: 763-502-7883
Scheduled Date: 2013-08-27 Scheduled Time: 10:00:00
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ACTION NEEDED:2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&23
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Compieted: 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 City of Fridley 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 ftom the main to the premise and ali interior plumbing. (Per City code
402.06) i also hoid the City of Fridley and/1ts employees harmless for any damages that may occur
whiie doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand I am aiso required to obtain a permit prior to any work,if
necessary.
Fina!meter reading(old meter) � ��� ��
Name�
Address• �1 �� �v� �t"U�
Phone Number: bate: [ � �������
Signature: ��`_
�tness Signature:
FRIDLEY ClTY C�DE
CHAPTER 402.WATER,STORM WA7ER,AND SaNITARY 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 hous.e
� or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shai!pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shal!be notified. It shall be unlawfui 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 suita6le connection.
402.06. REPAIRS AND MAtNTENANCE TO CONNECTION
After the ini#ial 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,owr�er,
or the occupant or user of such premises shall be liable f�r all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged far the costs of the
maintenance and/or repairs, inctuding any necessary street repairs,at a rate set annually by an administrative
policy. it shall be the responsibility of the applicant,owner,occupent or user to perform standard maintenance of
� the sewer service line from the premises to the main inctuding debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land o�property. (Ref 638,1156,1191)