Meter Swap ` Request Number: 15314
Public works Division
Service Request
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Problem Address: �463�92 2nd St Requested By: Joshua Schaell
Departmeut: WA'IER Addresa: No ad�ess provided
Problem/Issaes 1NSTALL AMR METER Phoee Number: 763-843-4155
Schedule�Date: 201'1-05-15 Schednled 1lme: I 1:30:00
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ACIION NEEDTD:
Created by: Wendy Hiatt Datc Creatsd: 2017-OS-12
ACIION TAKEN:
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Statuac 1n Progcss Submitter Has Beee r,
Contacted
, Date Completed: Completed by:
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Ci of Fridle �D �
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Water Department �m� ��G>�'
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
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occ�r while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FiNAL METER READING(oid meter) � ��
Name: c�V�r�NIJ� ������ Address — ! ��� ' `�C'i ��
Phone Number��CJ!r��- I I J� ,D�te �� 1� ��
Signature Witness Signature
OLD METER# — 1��� ���`�-�
OLD READING �"�L ��IU ��0
NEW METER# �� r�� �' �
NEW READING V
ERT# I ` �, �� �V
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAPIITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After wch connection has been made,the Water and Sewer Department shall be not�ed. 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.
402.06 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 lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali be liable for ali repairs
required to any water line and sewer lines 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 shall be charged for the costs of the maitrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administretive 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)