Meter Swap f
� � Request Number: 14982
Public Works Division
Service Request
Problem Address: 4624 3rd St Requested By: Robert LeClair
Depertment: WA1ER Address: No address�ovided
ProMem/lssue: INSTALL AMR ME'IZER Phone Number: 57I-2107
Sched d Date• 201'7-OS-01 Scheduled Tt�e:
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ACIION NEEDED:
CreAted by: We�y Hiatt Date Crc�ed: 2017-04-27
ACTION TAI�N:
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3tAtus: In Progess 5nbmitter Hu Been �,t
Contacted J
Dxte Compteted: Gompietedby:
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� � City of Fridley �
Water Department
6431 University Avenue NE �O � ���
Fridley,MN 55432
763-572-3566
�/We hereby authorize the�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the properly owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I a{so hold tfie City af Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to include,but not limned to valves,piping,walls,floors or the wrb stop box and senrice(ine. lo understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name: Address �V��l J � S�'• + �
Phone Number Date
Signature Witness Signature
OLD METER# �� v 1� � � � __
OLD READING ��� v °'�, �
48907182
NEW METER# _ _
NEW READING T - .
IIIIIIIIIIIIIIIIIIIIII E
ERT# 1 1 7'I 812702
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 constructing or repair of any water of sewer line connecting the existing municipal system and any house or buildir�for which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as�ovided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. 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 Ciry as a
proper and su'itable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia!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 liab�e for ail 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 cos�of the maintenance andjor
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 perfo�m standard mairitenance of the sewer service{ine from tfie premises to the main including debris cfearing 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)