Meter Swap .
'`� � Request Number: 14818
Public works Division
Service Request
Problem Address: 4701 2nd St Requested By: Judy
Department: WATER Addreas: No address�ovi�d
Problem/Issue: INSTALL AMR ME1ER Phone Number: 571-2342
Scheduled Date: 2017-04� Scheduled 1lme: 07:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-20
ACTION TAKEN:
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Stntus: In Progress 5ebmitter Aas Been r.
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Frid{ey,MN 55432
763-5723566
�/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 empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj c���� ✓ i/�,J
Name:� Jl�%� Address �' � � `
Phone Number c.�� �� 23�2. Date ��� ^ l�
Signature _ �� Wit�ess Signature
OLD METER# �" l t� �� ✓�
OLD READING `7��� � �V
NEW METER# �l��v���
NEW READING V
ERT# � ��� � ` c��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any wate�of sewer Ilne connecting the existing municipal system and arry 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 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shali be unlawful to wver
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 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 maimenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the mai�including debris clearing or
root cutting and to maintain the water seroice curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)