Meter Swap �T
4
Request Number: 15551
Public works Division
Service Request
Problem Address: 4952 3rd St NE Reqnested By: Dean Hoskins
Department: WATER Address: No address�ovi�d
Problem/Issue: INSTALLA11Lk�11+tETER PhoneNumber: 763-571-1995
Scheduled Date: 2017-OS-30 5chednled 13 e: 11:00:00
�V�J � � ��
AC'IION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-24
ACTION T.�I�N:
�.S ��1� ���-�
Status: In Progress Sabmitter Has Beea �.,.
Co�s�cted
Date Campleted: �ry �� �� Completed by: ���L�
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� City of Fridley '
Water Department
6431 University Avenue PlE �� � �!I� ,/
Fridley,MN 55432 �f� �f
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irtterior
pfumbing. (Per City code 4�2.06) I also hold ihe City of Fridley and/'rts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,pipin�walls,floors or the cur6 stop 6ox and senrice line. M understand t am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ` � I � / �
Name:_ � J�L"��_ Address_ 6� �� �� �• ��„_
Phone Numbe � " �� �' �ate �r �V ��
[�Cignature ne nature ��
I/
OLD ME�'ER#
15 � 1c� �1 ,
OLD READING � �
NEW METER# I�q �� Ut ���
NEW READING O
E�# �a35 � � 3
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND 5ANITARY SEWER
ADM{NISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERflA1T FEE
Prior to constructing or repair of any water aF sewer iine connecting the existing municipai system and any house or buitding for which the
appiication is made,the owner or contrador shall be required to obtain a permit for such connection,and sha(1 pay a permn fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shal(be notified. It shall be unlawful to cover
any connecting liae unti!an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COfYNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water servioe lead has
been extended to the property line for connection,the applicarrt,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. ff the property owner
requests maintenance service or repairs be gerformed 6y the City,the property owner shail be charged for the costs o�f the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of tfie appiicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris ctearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiU ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191}