Meter Swap �� ;
Request Number: 15078
Public Works Division
Service Request
Problem Address: 4732 3rd St Requested By: Bruce
Department: WATER Address: No address provided
Problem/tssue: INSTALL AMR ME'IER Phone Number: 952-406-0188
Schednled Date: 2017-OS-03 __A Sc6ednled'Iime: 01:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-05-01
A ON TAKEN:
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Status: 1n Progress �nbmitter H�Been C
Contacted
Date Completed: Completed by:
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City of Fridley ��� 7�2�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�lWe hereby authorize the City of Fridley and/or its employees 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 interio�
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may ouur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary. �
FINAt METER READING(old meter) � � �� ���
Name: �► "�C/ Address ''�L��� ��� ��
Pho�e Number ����- LV 1����e_�"- J�Y 1
Signature � Witness Signature
OLD METER#_ �� 1� ��O I
OLD READING_�� k�)���[ J
NEW METER# �ll�`�V� � ��
NEW READiNG �
ERT# � i ��lJ I � i
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINi51'RATION
(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 wnnecting the existing municipal system and any house or building for which the
application is made,the owner or co�rtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall 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 suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection fias been made to the water service curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shall be liable for al)repairs
required to any water line and sewer{ines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the C'ity,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of tMe appticant,
owner,occupant or user to perform standard maimenance of the sewer seniice line from the premises to the main including debris clearing or
root cutting and to maintain the water service wrb 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)