Meter Swap �
E
Request Number: 15222
Public Works Division
Service Request
Problem Address: 47'75 3rd St Requested By: Tara
Department: WATER Address: No a�ress provided
Problem/Isaue: INSTALL AMR ME1ER Phone Number: 612-710-1866
Sc�ednl d te: 2017-OS-10 � Schednledllme: 07:00:00
r
ACIION NEEDED:
by: Wendy Hiati Date Created: 2017-OS-0$ .
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ACIION'�'Ai�`:
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Statua: In Progress ���er Has Been �,
Couta�cted
Date Completed: �_ l� � �� Completed by: ��,�
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City of Fridley �]'� � J�J�(„�
Water pepartrnent V" �Tv�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its empbyees to do what is necessary to
reptace the water meter. i understand that the property owner is liable fo�the water line from the main to the premise and all iriterior
plumbing. (Per City code 402.06� I aiso hold the City of Fridley and/its employees harm{ess for arry damages that may oaur while doing this
operation. This to include,but not timited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(otd meter) `���� '� D
Name• �� '� Address � `�� �� � .
Phone Number ��'4"'� ��o " �'��`�' �j� tAJr� t
Date
Signature Witness Signature ----•
OLD METER# �� �� ��7�
OLD READING � o` l�'vC G
NEW METER# ���� �O��
NEW READING �
ERT# �a�.� -�i z�
FRtDLEY 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 arry water of sewer line connecting the existing municipal system and any house or buNding for which the
application is made,the owner or corrtractor shall be requlred to obtain a permit for such connection,and shali pay a permk fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to oover
arry connecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initlal connection has been mede to the water senrice curb stop box or the sewer lead at the property line or a water servic�lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises sha{I be{table for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standaKd 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 it remains above the finished
grade of the(and or property. (Ref 638,1156,1191)