Meter Swap t �' Request Number: 14825
Public Works Division
Service Request
Problem Address: 5037 Hughes Ave Requested By: Deborah
Department: WATER Address: No address provided
Problem/Issue: INSTALI,AMR ME'IER Phone Numi�er: '763-572-8226
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SchedWed Date: 2 17-04-26 � Schednled Tlme: 07:30:00
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ACITON NEEDED:
Created by; Beth Kondrick Date Created: 2017-04-20
ACTION TAI�N:
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City of Fridley s�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its empbyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/ks employees harmless for any damages that may ocwr whtle 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 prior to any work,if necessary.
FINAL METER READING(old meter) � 1 L � � �`�
Name: �� V ���' ` Address__ � � / ��iV�F�.l T'C�"c -
Phone Number � '"� y ��A� "�a`�' Date ��"_""` �'�
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Signature Witness Signature
OLD METER#
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OLD READING �� � ���O
NEW METER# � ��v "O�'-` U
NEW READING D
ERT# �2aa--�11 �
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 any house or Iwilding fa whith the
application is made,the owner or contractor shall be required to obtain a permit for wch wnnection,and shall pay a permit 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 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 connection has been made to the water service wrb 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 occuparit or user of wch premises shall be Itable 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 performed 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 policy. It shall be the responsibPlity 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 finished
grade of the land or property. (Ref 638,1156,1191)