Meter Swap .
, �` Request Number: 14788
Public Works Division
Service Request
Problem Address: 112 Pilot Ave Requested By: Lois Tollefson
Departmeat: WATER Addresa: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 5'74-2688
Scheduled DAte: 2017-04-24 Scb�dnled e: O1:OU:OU
_ M
ACTION NEEDED:
CreaEed by: Wetidy Hiatt Date Created: 2017-04-19
ACIION TAKEN:
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.___. ..............�.�:�... _..._..._.._._.__._._ _._ ...__. ._..._........__.__...._.._ ___.____._.
Status: In Progceas Snbmitter Has Been r,
Co�rtscted
D�tte Compieted: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is nec�ssary to
replace the water meter. 1 understand that the properly owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while cbing this
operation. This to inciude,but not limited to valves,piping,walls,f(oors or the wrb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) 1 �� U CJ /�
Name: ��� �� 1 Address 1�� �1�'"� t'�V��
Phone Number "7�—1�"' Ir��� Date ���� �
Signature_ ���/ \_ �--- Witness Signature
OLD METER# � I,�V W�
OLD READING � �� C� g l�kJ
NEW METER# �� w ����
NEW READING �
ERT# �l 222-�--`� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WAi'ER 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 existing municipal system and any house or bui�i�for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permR fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaU be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such�nnection and the work incident thereto has been approved 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 wrb stop box or the sewer lead at the property Iine or a water serviae lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the p�emises 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 tfie costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris deaNng 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)