Meter Swap � � , Request Number: 15324
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Public Works Division
Service Request
Problem Address: 4639 3rd St Requeated By: Judy Hafc�er
Dep�rtment: WATER Address: � No ad�ess p�ovided .
ProWem/Iss�: INSTAI,L AMR METER Phone Number: 572-9344
Scheduled Dste: 2017-OS-15 5chedoled'lime: 11:30;00
l S '�` !3
;��``. AC1T�N NEEDED:
CreAted by; VNe�y Hiatt Date Created: 2017-OS-12
ACTION 1"AKEN:
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Status: In Pro�ress Submitter A�Been �,
Co�rtacted
Dste Compl�ted: � ^ !� ` �� Completed by: c �
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t City of Fridley �D a �' ����
Water Department
6431 University Avenue NE �� � � /
Fridley,MN 55432 /��
763-572-3566
1/we hereby authorize the City of Fndley and/or its empioyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while dang this
operation. This to include,but not limited to valves,piping,walis.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 meter � � v � �� �
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Name: �� � 1�1.��1�� Address �"'r� ! J 1 � ��` �
Phone Number + �` ` ��VI Date c� '� L'� � ��
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Signature Witness Signature
OLD METER# � l�� � l�JI �D
OLD READING ��� � ��V
NEW METER# ��v����S
NEW READING v
ERT# � L I � � ��
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 water of sewer line connecting the existing municipai system and arry house or buitding for whtd�the
application is made,the owrner or corttractor shail be required to obtain a permit for such connection,and shal!pay a permit fee as provided 1n
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaii 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 City as a
proper and suitable connection.
402.06 REPAIRS AND MAtNTENANCE TO CONNECTION
After the initial conaeckion 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 I'�able 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 shall be charged for the costs of the mairrtenance and/or
repairs,inctuding necessary street repairs at a rate set annually by an administrative 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 dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that Ft remains above the tinished
grade of the land or property. (Ref 638,1156,1191)
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