Meter Swap a
Request Number: 14750
Pubtic Works Division
Service Request
Problem Address: 4856 2nd St Requested By: Carl Youngren
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-572-8983
Scheduled Date: 2017-04-24 Sc6edNed'11me: 10:30:00
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ACIION NEEDED:
Created by: Beth Kondtick Date Created: 2017-04-18
ACTION TAI�N:
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Status: In Progress 5nbmitter Has Been r
Cont�cted
Date Completed: Completed by:
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City of Fridley �b � �!��
Water Department `� �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
IJwe hereby authorize the Cty 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 interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doirq�this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � 1���
Name: �"` ' � ` "li� Address_ � E��� � ��
Phone Number_ � � G7 + (�� ���� �'`�� "'1. ` 1��
Signature �� YYitness Signature �
OLD METER# ��� V V Ii� 1
OLD READING � �t� � W
NEW METER# � 1� /�V��O�
NEW READING Q
ERT# � �v� v 1 —F v
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191�
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer Iine connecting the existing municipal system and any house or buiiding for whkh 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 ii of this Code. After such connection has been made,the Water and Sewe�Department sha{I be notified. ft shall be unlawfuf to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop bax or the sewer lead at the property line or a water senrke lead has
been extended to the property line for connection,the applicant,owner,or 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 property owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applipM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to tfie 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)