Meter Swap �
,� Request Number: 15293
P�bltc Works Division
Service Request
Problem Addreas: l 00 Gitnaltar Rd R�quested By: Paul Merryhe�t
Department: WA'IER Addreas: No address provided
Problem/Issue: 1NSTALL AMR ME1ER Fhone Number: 612-336-9250
Schedaled Date: 17-Ob-09 Schedalei 11me: 02:00:00
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ACTION NEEDED•
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Creatcd by: Beth Kondrick Da�e Crertdd: 2017-OS-11
, ACTION TAKLN: ��
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Status: In Progress Submitter Has Bces r, �
Contacted
Date Completed: Completed by:
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" City of Fridley
- Water Departrnent �� [,����
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 tiable 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 emptoyees harmfess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piging,walis,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
.,,j���+^ FINAL METER READING(old meter) � 1 v� � � "
Name: }�S l 1 bL/� �����`^�� Address �j� � �✓"-'�1�� �
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Phone Number ��r�J�� `�� te `�-� ^ `� 1�
�Signature 4 ✓�/ "?�ti��1:h/ W[tness Si nature
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OLD METER# O 1� � J J�D
OLD READ{NG � 1 � I � �O
NEW METER# - k I����v I
NEW READING �
ERT# � � �� -1 IJ— i�
FRIDLEY CITY CODE
CHAP'TER 402.WATER,STC>RM WATER AND SANITARY SEWER
ADMiNI5TRA1'ION
(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 connecting the existing municipai system and arry house or building for which the
application is made,the owner or corrtractor shail be required to obtain a permit foc wch connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection fias been made,the Water and Sewer Departmem shall be notified. It sfiall be unlawful to cover
any connecting line urrtii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS APiD MAINTENANCE TO CONNECTION
After the initial connectian has been made to the water service curb stop box or the sewer lead at the property tine or a water senrice lead has
been extended to the property line for wnnection,the appiicant,owner,or ocr.upant or user of such premises stwll be liable for all repairs
required to any water line and sewer lines necessary for aoonection of the premises from the main to the premises. If the pro�rty carner
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 annuaily by an administraNve policy. It shall be the responsilril'rty of the appiicant,
oarner,occupant or user to perform standard maintenance of the sewer service iine from the premises to the maln including debris clearing or
root cutting and to mairrtain the water senrice curb stop box for operability and at wch height as will ensure that it remains above the finished
grade aF the land or property. (Ref 638,1156,1191f