Meter Swap �
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� Request Number: 15166
Public Works Division
Service Request
Problem Address: 5237 Horizon Dr Requested By: Deb
Department: WA'lER Address: No address pc�ovi�d
Problem/Issue: INSTALL AMR ME'IER Phone Number: 572-1033
Scheduled Dxte: 2017-OS-08 Scheduled 1tme: 11:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-OS-OS
AG7ION T .
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Status: In Progress Submitter Has Beea �.,
Contscted
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/we hereby authorize the�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is Ilable for the water line from the main to the premise and all irrte�ior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr whiie doin,g this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) _ � 1 �� ���
Name: F�1 /_�Q� Address ���� 1T,�� �
PhoneNumber ``1 � V Y" ,�)� Date � � � f
Signature Witness SignaWre
OLD METER# � � G� �� O�
OLD READING �, ' �� � �t..J
NEW METER# `1 �,� � ���
NEW READING �
ERT# � l �� 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 any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permlt fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to wver
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 connection has been made to the water sen�ce curb stop box or the sewer lead at the property line or a water servia lead has
been extended to tfie 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 mai�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 mair�tenance and/or
repairs.including necessary street repairs at a rate set annuaity by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding deb�is c�earing os�
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the la�d or property. {Ref 638,1156,1191)