Meter Swap �
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Request Number: 14845
Public works Division
Service Request
Problem Address: 160 Pilot Are Requested By: Laura Pika
Department: WA'IER Address: No address provided
Problem/Isaue: INSTAI.L AMR ME1ER Phone Number: 612-860-0203
Sche 201'7- -25 � Sc�ednled Time: Q7:3Q:OQ
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ACIZON NEEDED:
Created by: Wendy Hi�t Date Created: 2017-04-21
ACTION TAI�N:
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Status: In Progress Submitter Has Been r.
Contacted
Uate Completed: Completed by:
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City of Fridley � � ��p� �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Frydley and/or its empbyees 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 iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its empioyees harmless for any damages that may ocau while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In undentand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) w v�
Name: I�U� �l �'�'` Address L �VO ��1� T�"`-'
Phone Number �Cl '�" ��v � �W�ate ���✓ � '�
Signature Witness Signature
OLD METER# 1 �'[� �q�
OLD READING �V � � � `�O
NEW METER# "`� � ����
NEW READING �
ERT# ����� 1 '� i
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 construding or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
appiication is made,the owner or corrtrector shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shali be notified. It 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 Gty as a
proper and witable 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 line or a water senrice lead has
been extended to the property line for connectPon,the applicant,owner,or occupant or user of wch premises shall be liable 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 properly 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 poliry. It shall be the responsibility of the applipM,
owner,occuparrt 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 wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)