Meter Swap �` Request Number: 14992
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P11bI1C WOl'�3 D1V�S10D
Service Request
Problem Address: 4523 Main St Requested By: Ronald Stromberg
Department: WATER Addresa: No address provided
Problem/Issne: iNSTALI.AMR ME1ER Phone Number: 763-571-920$
Sc�teduled Date: 2017-OS-01 Schedaled 1Ime: 10:30:00
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ACTiON NEEDED:
CreaEed by: Beth Kondrick Date Created: 2017-04-27
ACIYON TAI�N:
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Status: In Progress Snbmltter H�Been �.,
Contacted
D:te Compteted: Completed by:
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` City of Fridley �OIQ"' K����D"
Water Department ���i., �./�
6431 University Avenue NE ��
Fridley, MN 55432
763-572-3566
�/We hereby authorize the Clty 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 all irKerior
p(umbing. (Per City code 402.06) I a(so hold the City of Frfdley andrts employees 6armtess for any damages that may ocwr while doing tbis
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. 1�unden�tand I am atso required
� to obtain a permit prior to any work,if necessary.
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FINAL METER READlNG(old meterj
Name: Address - 1��� �r' V 1
1 •- ( �
Phone Number _„_, '� 6 � �e ,� 1"� �
Signature Witness Signature
OLD METER# � ��f,�,� Z�
(� 2 -- sn o w(� �`( ! �[-�� !' � `�-:
OLD READING �� � I C,�
NEW METER# ���v � , , 3
NEW READING W
ERT# � � � � 0� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAi"tON
(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 connecti�g the existing municipal system and any house o�buildir�for which the
application is made,the owner or cootractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. It shall be uniawful to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approMed 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 curb stop box or the sewer lead at the pro�rty line or a water sen�ice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be Ifable for a(I repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises, ff the properly owner
requests mairrtenance service or repairs be performed by t6e�ty,tbe property owner shail be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility o�F 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)