Meter Swap � �
Request Number: 14878
Public Works Division
Service Request
Problem Address: 201 49th Ave Requested By: Karen
Degartment: WA'lER Aeddress: No address provi�d
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-350-0414
Sc6eduled Date: 2017-04-24 A I Scheduled 1lme: 07:30:00
Irncx� �r` 1:
ACIION NEEDED:
Created by: Beth Kondrick Date Crexted: 2017-04-21
ACITON TAI�N:
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Status: In Progress Snbmitter Has Beee r,
Ca�acted
Date Completed: Completed by:
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City of Fridley
Water Departrnent s� �3 jp�(�
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/M►e hereby authorize the City of Fridley and/or its employees to do what Ys 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 ail interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur whlle doing t�his
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understarnl i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� ��� � �
Name• �/�� Address����'`� �
Phone Number ��J v✓V'^D���Date �^� ;�1~ 1,�
Signature Witness Signature
OLD METER# I�� ����
OLD READING Z I 2(� (� I O
NEW METER# "'1� w �(��
NEW READING�
ERT# ���Z� I �J �/
FRIDLEY 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 any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shalt pa�a permit fiee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shall be unlawful to�ver
any connecting line u�til an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAIWTENANCE TO CONNECTiON
After the initial 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
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabte for all repairs
required to any water line and sewer Ilnes necessary for conneetion of the premises from the main to the premtses. tf the property owner
requests maintenance service or repairs be qerformed by the City,the property owner shall be charged tor the costs of the maiMenance and/or
repairs,including necessary street repain at a rate set annuaity by an administrative policy. It shall be the responsibility of the appifcant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)