Meter Swap _�>.
Request Number: 6822
Public Works Division
Service Request
Problem A�ddress: 969 68th Ave Requested By: Jodi Farr
Department: WATER Address: No address provided
Problemllssue: INSTALL MEIER(WATER) Phone Number: 571-4497
Scheduled Date: 2013-08-28 Scheduled Time: 10:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-26
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed :
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- Ci#y of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/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 from the main to the premise and all interior plumbing. (Per City code
402.06) I atsa hold the City of Fridley and/its employees harmless for 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{am a{so required to abtain a permit prior to any work,if
necessary.
Final mete�reading(oid meter) � � � �� �
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Name• Address•
Phone Number Date• �
Signature• N
Witness Signature:
FRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
AOMINISTRAT�ON
(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 for which the appfication is made,the owner or contractor shatl 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 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 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 senrice or sewer lead has been extended tothe 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 for connection of the premises from the main to the premises. If the prop�[ty owner requests
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
policy. 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 wiil ensure that it remains above the finished
grade of the{and or pcaperty. (Ref 638,1156,1191)
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City t�f Fri�il�y
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Sched�ded Date: Properly Owner.
lacation Qeta�s: Requeat I���s:
Action Taken:
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