Meter Swap �
Request Number: 15206
' Public Works Division
Service Request
Problem Address: 160 Pa�rama Ave Requested By: Wendy Saumer
Departme�: WATER Addreas: No address provided
Problem/Issue: INSTAL,L AMR ME'IER Phone Number: 612-225-7572
Scbeduled Date: 2017-45-10 Sc�ednled 11me: OI:OOc00
v� .
ACIION NEEDED:
Created by: We�y Hiatt Date Created: 201?-05-08
ACIION T .
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Status: 1n Progress �bmitter Hu Beeg r
Contacted
Date Completed: Completed by:
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City of Fridley C� � ��
Water Department v
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
��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 prope+ty owner is liable for the water line from the main to the premise and a!I interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/tts employees harmless for any damages fihat may ocwr while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the wrb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING(old meter) ✓ � � ' ��
Name: 1A�1(r�Q�l Address 6�UV C'�'l•9�(I,����Yc�v 'G�UC�
Phone Number_�i'V���'�V��(��a��'��' `�
Signature Witness Signature
OLD METER# `�../O� I �O- 1��
OLD READING J I � I �V
NEW METER# �� 1�O � ! v IC�
NEW READING__�./
ERT# � � �Z�� 1Q �
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 ex�sting municipal system and ar�y house w buitdin6 for which tf�e
application is made,the owner or corrtractor shatl be required to obtain a permit for such connection,and shaN pay a�ermit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be not�ed. tt 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 Crty 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 property IFne or a water senrke lead has
been extended to the property line for conneciPon,the applicant,owner,or occupant or user of such premises shall be liabie for all repafrs
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 mairrtenance service or repairs be perFormed by the C"rty,the property owner shall be charged for the�of the maintenance and/or
repairs,including 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 maintenance of the sewer service line from the premises to the main including debris clearin�or
root cutting and to maintain the water service curb stop box for operability and at such height as will ens�re that it remains above the finished
grade af the land or property. (Ref 638,1156,1193j