Meter Swap �
� Request Number: 15001
Public Works Division
Service Request
Problem Address: 113 Gibraltar Rd Itequested By: Patricia
Depsrtme�: WA1ER Address: No address providcd
Problem/Isa�: INSTALL AMR ME1ER Pho�Namber: 5�2-8261
Sehedaled Date• 2017-04-28 Sc6edoled 11me: 01:0(i:00
�
ACIION NEEDED:
Crexted by: Wendy Hiatt Date Created: 201�-04-27
ACIION TAI�N:
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St�tas: In Progress ���er Haa Been r
Co�acted
Date Complcted: Cempleted by:
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City of Fridley S o '�tt' ����j
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby autho�ize the City of Fridley and/or its employees to do what is nec�essary 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 irKerio�
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may ocwr while dang this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_ v � � I O � �
Name: ��GC �+ Address �� � v`�L��`�'r �
Phone Number ��� � `� � Date � ^ �� � 1
Signature Witness Signature
O!D METER# �� �� «O
OLD READING_�J�`"l ' O��
NEW METER# �- I� ��� �
NEW READING �
ERT# � ��2— J I �" 1 �
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 construding or repair of any water of sewer line connecting the existing municipal system and arry house or buNding 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 Departmer�t shall be notified. It shali be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C'ity as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectton has been made to the water service curb stop box or the sewer lead at the property line or a wate�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 line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shaN be charged for the costs of the mairnerrance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. R shall be the responsibility of the appliaM,
owner,occupant or user to perform standard mairrtenance of the sewer seroice 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 wili ensure that it remains above the�inished
grade of the land or property. (Ref 638,1156,1191)
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