Meter Swap �
t Request Number: 15353
Public works Division
Service Request
Problem Address: 4648 2 1/2 St Requested By: Kerri Lissick
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Pbone Number: 612-306-6086
Scheduled Date: 2011-05-20 Scheduled 1lme: 07:30:00
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ACTION NEEDED:
Cre�ted by: Wendy Hiatt Date Crented: 201'7-OS-15
ACTION TAI�N:
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Status: In Progress Submitter Hns Been �
Contacted
Date Compieted: Completed by:
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- City of Fridley
Water Department ���
6431 University Avenue NE ��5�
Fridley,MN 55432
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763-572-3566
�1We hereby authori2e the City of Fridley and/or its emptoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water fine from the main to the premise and all iMerior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not lim'rted to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also requie�ed
to obtain a permit prior to any work,if necessary.
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FINAL M R READING(old meterj
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Name: 1 � ����,,� Address� � " "^`"`^ �'
Phone Numbe ���' � �v�,,r Date ���" ��
Signature Witness Signature
OLD METER#������D�-1
OLD READING_,� _ ---- � �b�J"��
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NEW METER#_� 49225969 -
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NEW READING_��
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'11 72355250 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
' (Ref Ord No 113,46�4,565,566,629,538,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
� Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
appliwtion is made,the owner or cor�tractor 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 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 C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOM
After the initiat coanection has been made to the water service curb stop box or the sewer lead at the prvperty 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 liabfe for alf repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property ow�er shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shali be the responsibiltty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiN ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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