Meter Swap r �
Req uest N u m ber: 7024
Public Works Division
Service Request
Problem Address: 6526 Brookview Dr Requested By: Matt Plumber
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-370-3027
Scheduled Date: 2013-09-26 Scheduled Time: 07:00:00
ACTION NEEDED: 2013 AMR � � ;� Q�
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Created by: Wendy Hiatt Date Created: 2013-09-23
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
I/we hereby authorize the City of Fridley andJor its owner
� employees to do what is necessary to replace the water meter. I understand that the property
is liable for the water line from the main to the premis S ha mless fo rany damiage that may oaur
402.06) I also hold the City of Fridley and/its employee i� walis,floors or the curb
while doing this operation. This to include,but not limited to;valves,pip' g►
stop box and service line. I understand I am also required to obtain a permit Prior to any work►if
necessary. �� �(' P''�
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Ftnal meter reading(old meter) `S��
Name• Addresr. �
Date: � I . '�-
Phone Number• �
S�gnature:
Witness Signature:
FRIDLEY CITY CUDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE -
Prior to constructing or repair of any water ar sewer line connecti�o shall be equ redtolabt n a permit for such
or building for which the application is made,the owner or contra
connection,and shall pay a permit fee as pro�be n t fed.tlt shall be unlawfui to cover any conne'cti g lineeuntil an
made,the Water and Sewer Department shal roved by the City as a
inspection has been made and such connection and the work incident thereto has been app
propec and suitable cannedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTiON
After the initial connection has been made to the water servhce�o��p'ne forrconnection1ethe appl cant owner,
Iine or a water service or sewer lead has been extended to t p P
or the occupant or user of such premises shall be liable for all repairs required to any Wat��ner redu�r lines
necessary for connection af the ere erfe m d by the Citytthe p operty owne 5ha11 be harged for he costs of the
maintenance service or repairs b p an administrative
maintenance and/or repairs, includ'��ng he anplicant ow ert o cupant or user to perfo m standard maintenance of
policy. It shall be the responsibility P
• the sewer service line from the premises to the main incle d�n ad w�I e sure hat t emains abo e the finish d h�
water service curb stop box for operability and a#such h g
grade of the land or property. (Ref 638,1156,1191)