Meter Swap �3
� Request Number: 14821
Public works Division
Service Request
Problem Address: 5212 Horiwn Dr Requested By: Steve
Department: WATER Address: No address provided ,
Problem/7saue: INSTALL AMlt METER Phone Number: 763-458-7362
Scheduled Date: 2017-04-22 J Scheduled Tlme: 07:00:00 '
Z�a�
ACTION NEEDED:
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Created by: Wendy Hiatt Date Created: 2017-(?4-20
ACTiON T�N:
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Status: In Progress 5abmitter Has Been r,
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what ke necessary to
replace the water meter. 1 understand that the property owner is IiaWe for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while dar�g this
operation. 7his to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to pi�tain a permit prior to any work,if necessary.
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FINAL METER READING(old meter) ����� '�
Name: ��t � \�C�,�✓� Address�Z�2..��Zl� �.J'�•
Phone Number��0�7� �JJ D� L��� Date �'�-'��
Signatur,a�� /�f'�JrG/�� Witness Signature
OLD METER# ���U J�Z'v�
OLD READING�'��� �� -
� -
NEW METER#� �"I Z���J
NEW READING �
ERT# IIIIIIIIIIIIIIIIIIIIII E
� �'I1 72223344 �
.: _ __ :--
FRIDLEY CITY CODE �`?'�`�
CHAPTER 402.WATER,S'fORM 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 any house or buNding for which the
appiication is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provtded in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notffied. It shall be unlawful to�ver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by tF�e City as a
proper and suitable connettion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the irtitial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servFce lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be liabie 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 maintenance service or repairs be pe�formed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibil'�ty of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service 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 will ensure that it remains above the flnished
grade of the land or property. �Ref 638.1156,1191)