Meter Swap .. Request Number: 15052
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PU�1C w01�3 J�IVISIOII
Service Request
Problem Address: 4663 3rd St Requested By: Mike Carlson
Department: WATER Address: No address provided
ProblemlTssue: INSTAI,L AMR METER Phone Number: 763-710-9640
Scheduled Dste: 2017-05-02 Sc�ednled 1Yme: 11:30:00
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ACfION NEEDED:
Created by: Beth Kondrick Date CreAted: 2017-04-28
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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So-� ��
� City of Fridley
� Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/�+e hereby at,+thorize the City of Fridley and/or 1ts employees to do what is neassary to
rsplace the water meter. 1 understand tf�at the properly owner is liable for the water line from the main to the premise and ali ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. 7his to include,but nat limited to valves,piping,walls,floors or the wrb stop box and service line. In understand I am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READtNG(otd meter) �' ����v
Name: �� lXN �O�� Address "'l � J � �
Phone Number�7�3 ����Y/�`� Date_ � r � �� •
Signature \�" \ �-- Witness Signature '
OLD METER# 1���"'� (;C��V
� OLD READING �—� (��� �O�
NEW METER# ���� � � 1 �
NEW READING �
E�# `1 I� � Z.� ��
FRIDlEY ClTY 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 ha,�se or buiiding for wfi�ch the
application is made,the owner or coritractor shall be required to obtain a permit for such conrtection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be not�fied. It shall be unlawfui 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 witabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made ta the water senrice curb stop box or the sewer lead at the property line or a water xn�ice lead has
been extended to the property tine for wnnection,the appticant,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. If the property owner
requests maintenance service or repairs be perFormed by the C'�ty,the property owner shaii be charged for the costs of the maiMenance and/or
repairs,induding necessary street repairs at a rate set annually by an administrative poliry. It sball be the responsibility of the applicarit,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main induding deb�ts dearing o�
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that k remains above the finished
grade of the land or property. (Ref 638,1156,1191)