Meter Swap �
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Request Number: 14963
Public Works Division
Service Request
Problem Address: 148 Pilot Ave Requested By: Jeremy
Department: WA1ER Address: No�ress provided
ProMem/Issue: INSTAL,L AMR METER Phone Number: 1-203-240-2773
Schednled D�te• 201?-04-28 SchedWed Tlme: 11:30:00
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ACIION NEEDED:
Created by: We�y Hiatt Dute Created: 2017-04-26
ACTION TAI�AI: ��
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Status: In Progress Sabmitter Has Been r.,
Co��ted
Date Com�etcd: Completed by:
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City of Fridley c
Water Department s� � ���J
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the�ty of Fridley and/or tts employees to do what is necessary to
replace the water meter. i understand that the properry owner is liable for the water line from the main to the premise arnl all tr�rior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/i�employees harmless for arry damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ' ��` ���
Name: �'V� Address {LI V � ��� rTV"'��
�� / � �� ` " V� � 1
Phone Number � '" � ate
Signature_\�/ \ Witness Signature�
OLD METER# ���� 6�� 1 �
OLD READINC � ��I � ��
NEW METER# `���_L �O
NEW READING �
ERT# � ���� 1 1�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMR FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buHding for wFitch the
application is made,the owner or coMractor 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 Department shail 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 t'ity as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECi70N
After the ioitial connection has been made to the water service curb stop box or the sewer lead at the property line or a water aervice lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shall be P�abie 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 mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility af the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciudi�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)