Meter Swap �
1 Request Number: 14552
Public works Division
Service Request
Problem Address: 5500 Horiwn Dr Requested By: Carl Hoiby
Depxrtme�: WATER Address: No address provided
Problem/Iasm: INSTALL A11�IIt METER Phone Number: 612-202-6228
Schednic�Date: 2017-04-12 Sc6ednled 1ime: 11:00:00
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ACIION NEEDED:
Created by: Beth Kotidtick Date Created: 2017-04-06
ACTION TAI�N: ,,,�
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Sts►tus: In Progress Snbmitter Has Been �..,
Contacted
D�te Compteted: � � I�^ ,� Completed by: \ _`, �
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City of Fridley /� S C�
Water Department �li' � �" 1
6431 University Avenue NE
Fridiey,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 ail irKerior
plumbing. (Per City code 402.06) I also hoid the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prio�to any work,if necessary.
FINAL METER READING old meter � � �"' �
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Name: C� I�, �fJ�_ Address 5�aa �('�r�'�E91�- �.
Phone Number ��'� ✓ ��-�ZZv Date �— �� � �
Signature Witness Signature
OLD METER# ���`'���D I
OLD READING � � " ``' O
NEW METER# 1 IP'�/� 1 ✓ �
NEW READING �
ERT# ��D�O� � l4 I �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any h�se or buiiding for which the
application is made,the owner or contrador 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 wch connedion has been made,the Water and Sewer Department shall be not�ed. It shall 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 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 line or a water servke lead has
been extended to the property line for connection,the applicant,owner,or ocwpant or user of such premises shall be liable for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repain,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appliwnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will enwre that it remains above the finished
grade of the land or properly. (Ref 638,1156,1191)