Meter Swap �• '� Request Number: 14790
Public Works Division
Service Request
Problem Address: 5096 Clearview St Requested By: J�nes Trafas
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMIt METER P6one Number: 572-8236
Scheduled Drte: 2017-04-24 � ",` Schednled Tltne: 01:3U:0(1
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ac�pN iv�n�n:
Created by: Wendy Hiett Dnte Crented: 2017-04-19
ACIION TAKEN:
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Status: 1n Progress Snbmitter Has Been �
Contacted
Dnte Compieted: y ��L.j��� Completed by:���� ' + -
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City of Fridley � /Z/_�//
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 ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oavr while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in undentand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ������
Name: �E�l�� �r�l�.`3'"Q,� Address _ ��Y/ ��,d1�In���TJ�/`�-' J�
Phone Number_ � 1(/�_ � � � � Date �` ��� ��
Signature Witness Signature
OLD METER# ����� � J
OLD READING ��� / ��
NEWMETER# ���� ��v�
NEW READING �
ERT# � � ��� ���
FRIOLEY 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 construding or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
app4ication is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Departme�shall be notified. tt shall be unlawfu{to cover
any connecting line until an inspedion has been made and such wnnection and the work incident thereto has been approved by the City as a �
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTtON
After the initial connection has been made to the water senrice 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 occupa�or user of such premises shal!be tiable for al{repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the properly owner
requests maintenance service or repairs be performed by the C'�ty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shatl be the responsibility aF the applicaM,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the mato including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such heigbt as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)