Meter Swap � Request Number: 15370
� Public works Division
Service Request
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Problem Address: 4869 Main St Requested By: Cheryl
Department: WA1ER Address: No a�ress provided
Problem/tssuc: INSTALL AMR ME'IER Phone Number: 763-5$7-5885
Scheduled Date: 2017-OS-20 Scheduled 1ime: 10:30:00
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ACIION NEEDED:
Created by: �eth Ko�rick Date Created: 2017-OS-16
ACTION T.AI�N:
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Status: In Progress Cont�acted�Been r �
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Date Compteted: Completed by:
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City of Fridley �4� � ���s��� �`
•'' Water Department �� /„?j
+ 6431 University Avenue NE 5� � �V
Fridiey,MN 55432
763-572-3566
I/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water eter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06j 1 also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing thi��:-
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and senrice line. In understand i am also requi�,�'r,;;
� to obtain a permit prior to any work,if necessary. '. �.`;,�
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FINAL METER READING(old meter)�` \�
Name:.� i��U/`1 S Address �7�� ���� ��
Phone Number � " �����1/ D� ��Q-
Signature Q Witness Signature
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ERT#_ IIIIIIIIIIIIIIIIIIIIII E
I�� � 7235523'I
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER APID 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 conneding the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shall pay a permk fee as provlded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shalt be notified. it shalf be uniawfut to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection. .
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property Ilne or a water serviae IQad has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be IiaWe frn all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the properly oarner
requests meirrtenance service or repairs be performed by the City,the property owner shall be charged for the�of the mai�enance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main induding debris dearing 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)
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