Meter Swap S
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Request Number: 15238
Public Works Division
Service Request
Problem Address: 183 53rd A� Requested By: Jeff
Depnrtment: WA1ER Addresa: No address�ovi�d
Problem/Issue: INSTALL.A1�Ilt METER Phone Number: 512-567-8312
Scheduted Date: 2017-OS-10 5c6ednled 11me: 11:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-09
ACTiON TAI�N• 1
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Status: In Pro�ess Submitter Has Been r,
Co�acted
Date Completed: Completed iry:
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City of Fridley
Water Departrnent �O � Il(1�� �
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 netessary 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 inte�ior
piumbing. (Per City code 402.06) 1 also hold the�ty of Fridley and/its employees harmless for any damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in undentand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER EADING(old meter) �� � � �O
Name:� Address__1��� v �`r� �
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Phone Number _� ) {+ '� � � �Date l� r����
Signature WRness Signature
OLD METER# ��� � "��
OLD READING_`� � � �
NEW METER# �� rV �, � V�
NEW READING D ���";
ERT# � 1 � �—lJ �J l� �b� ��,.:f :�,�
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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 wnnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permtt for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departme�t shall be nottfied. 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 Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE 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 servtce lead has
been extended to the property line for connectio�,the applicaM,owner,or occupant or user of such premises shall be liabie 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¢roperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�rtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the matn includir�debris clearing or
root cutting and to maiMain the water service curb stop box for operability and at such height as will enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)