Meter Swap � � Request Number: 15094
Public Works Division
Service Request
Problem Address: 5024 Clearview St Requested By: Charles
Department: WATER Address: No address�ovided
Problem/Issue: INST.ALL AMR ME1ER Phone Number: 571-2497
Schedui d te: 2017-OS-03 r 1 5c6edWed 1�me: 08:00:00
�'1a 3 G'` �.�,
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-02
ACTTON T .
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Statua: In Progress Sabmitter Haa Been r
Contsuted
Dste Completed: Completed by:
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� j City of Fridley �� � � ` ?�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the CHy of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is{iable for the water line from the main to the premise and ail interior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while dang this
operation, This to include,but not limited to vaives,piping,walls,floors or the curb stop box and senrice line. In understand!am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���O ���
Name: l�_i1/��5 Address_ ��.J��1 ��.�/`��'1'Cl�/�J �
Phone Number c.J { {'� ���� Date � �— ��
Signature Witness Signature
OLD METER# I� ���� F I
OLD READING D 1 ��/ ���/
NEW METER# `"'t� `4� ��
NEW READING �
ERT# t ' t��`-� ��J�
FRIDLEY CITY CODE
CHAPTER 402.WATER�STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464.565,566,629,638,662,922,988,1144,1156,1191j
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 whieh the
application is made,the owner or contractor shall be requ(red to obtain a permit for such connection,and shafi pay a permit fee as provided in
Chapter 11 of tfiis Code. After such connection has been made,the Water and Sewer Departmeirt shall be not�ed. it shall be unlawful to wver
any wnneding line until an inspedion has been made and such connection 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 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 liable for all repairs
required to any water tine and sewer{ines 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,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appiicant,
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 wrb 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)