Meter Swap � - � Request Number: 14509
Public works Division
Service Request
Problem Address: 5456 Altuta Rd Requested By: Maya
Depnrtme�: WA1ER Address: No address provided
Problem/Iss�: INSTAI.L AMR METER Phone Number: 763-572-9592
Schednled Date: 2017-04-10 5ckedoled 1lme: 01:30:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Crerted: 2017-04-04
ACIION TAKEN:
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Stntus: In Progcess S�bmitter Has Been �
Contacted
Ifate Completed: Completed by:
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City of Fridiey
Water Department
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 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 irnerior
plumbing. (Per City code 402.06) I afso hofd the City of Fridley and/its employees harmless for any damages that may occur while doing�is
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
F(NAL METER READING(ofd meter)
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Name: __���— Address �� �� Hky VY� �-F1
Phone Number I���`������— Date �'' Yv� � l
Signature Witness Signature
OLD METER# �"li`'i ��Z���
OLD READING D �� J�
NEW METER# � t +�U�� t✓ �
NEW READING �
ERT# y ��Z�� ��
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 rnnstructing or repair of any water of sewer tine connecting 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 permit 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 DepartmeM shall be notified. R shall be unlawful to�r
any connecting line untit an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnedion.
402.06 REPAIRS AND MAtNTENANCE 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 ssroice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for all repairs
requi�ed to any water line and sewer tines necessary for connection of the premises from the main to the premises. ff the property awner
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 aF the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inctuding debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)