Meter Swap ..
Request Number: 15187
Public Works Division
Service Request
Problem Address: 4851 3rd St Requested By: Ramiro
Departme�: WATER A�lress: No address provided
Problem/Iasue: INSTAI.L AMR.METER P�oge Number: 612-978-3889
5cAeduled Date: 2017-05-09 5c6ednle�Tlrae: OT:30:00
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ALTION NEEDED:
Created by: We�y Hiatt Date G'reated: 201'7-05-08
ACTION TAI�N:
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Status: In Progress Ssbmitter I�tc Beeg C,
Coat�cted
Date Compieted: Completed by:
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� City of Fridley ��� `T`�5 r
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all ir�terior
plumbing. (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 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 meter)
Name:��',��� � Addreu � � �fc� .
Phone Numberv��`���r �� Date y�
Signature Witness Signature
OLD METER# 3 Ll2'Z— �� �
OLD READING �`� 3 � � �
NEW METER# 1I��� 7 � ��
NEW READ �
ERT# � � � � t`�`� �
FRfDLEY CfTY 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 arry water of sewer line connecting the existing municipal rystem and any house or butlding for which the
appiication is made,the owner or contractor shall be required to obtain a permit for wch connection,and shal!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 notified. It shall be unlawful to cover
a�y wnneding line until an inspection has been made and sucfi 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 initiai 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
6een 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 conneetion of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be pe�Formed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative policy. It shall be tfie responsibility of tfie applicarrt,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including deb�is clearing 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)