Utility ,� ',
Request Number: 14667
Public Works Division
Service Request
Problem Address: 143 Crown Rd Requested By: Kevin
Department: WA'IER Address: No address provided
Problem/Issue: INSTALLAMRMETER P6oneNumber: 612-581-1128
Scheduled Date: 2017-04-21 Scheduled 1ime: 01:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-13
ACTION TAI�N:
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Status: In Progress Submitter Has Been �.,
Contacted
Date Completed: Completed by:
Hours �
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City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley aod/or its employees to do what is necessary to
replace the wate�meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irKe�ior
plumbing. (Per Ciiy code 402.06) 1 also hold the City of Fridley andrts employees harmless for any damages that may ocar while doing this
operation. This to indude,but not limited to valves,piping,wails,floors or the curb stop box and senrice line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterJ__�� ���D
Name: �1 r�, Address� � � � CJ�f7�� VL�
Phone Number ������ 1� �`�� Date `� ������ `
Signature V \ �-- WRness Signature
OLD METER# b � � � �� ( �
OLD READING ��'�C7 �O
NEW METER# " 1 { �''" �� ��
NEW READING �
ERT# � 1�� V ����
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 arry water of sewer line connecting the existing municipal system and a�y hous�or buiidi�for which tfie
application is made,the owner or rnMractor shall be required to obtain a perm�t 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 Department shall be notified. R shall be unlawFul to cover
any connecting 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 connedion has been made.to the water service curb stop box or the sewer lead at the property tine or a water service lead has
been extended to the property line for connection,the applicaM,owner,or occuparrt or user of wch premises shall be liable for ail repalrs
required to any water lioe and sewer lines�ecessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be pe�formed 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 annuaily by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maiMain 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 638,1155,1191)