Meter Swap .�
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Request Number: 14543
Public works Division
Service Request
Problem Address: 5398 Altura Rd Requested By: Robert King
Departmeat: WATER Address: No adc�ess provided
Problem/tssue: INSTALL AMR ME'IER Phone Number: �63-572-9577
Scheduled Date: 2017-04-11 Schednled 11me: 11:00:00
AG7ION NEEDED:
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Crested by: Beth Kondrick Date Cneated: 2017-04-OS
ACTION TAI�N:
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Status: In Progess 5abmitter Has Been r,
Contacted
Date Completed: � — I f— I � Completed by: �a`, �
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City of Fridley � � ��� /
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/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 interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur white doing this
operation. This to include,but not limited to vaNes,piping,walls,floors or t6e curb stop box and service tine. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING�old meter) �� I �� ��
Name:_���� Address� J J�� ���/l �•
Phone Number ���1 � y� � F �� Date � �� ` V ` 6
Signature Witness Signature �
OLD METER# �cJ(LJ� 1 �� (
OLD READING � �� ��
NEW METER# ���"�� V 1 (
NEW READING �
ERT# ���"d� ��� )
FRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(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 c,onnecting the existing municipa!system and any hoase or bufWing 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 wch connection has been made,the Water and Sewer Department shall be notified. k shall be unlawful to cover
any conneding line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer iead 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 wch premises shall be liabie for aU 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 City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb 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)