Meter Swap �
C Request Number: 14574
Public works Division
Service Request
Problem Address: 110 Ventura A� Requested By: Affi Kudebeh
Departme�: WA'IER Address: No address provided
Problem/Issue: INSTAL.L AMR ME1ER Phoae Number: 763-?80-350S
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Scl�dnled Date: 2017-04-13 Sc6e�led 11me: 10:00:Of1
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Bcth Kondrick Date Created: 2017-04-06
ACIYON TAI�N:
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Status: In Progress Submitter Has Been � .•�
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City of Fridley �� ���
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold tt�e City of Fridley and/'rts employees harmless for any damages that may oaur while doing�is
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj _
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Name: � \��1 � �VI.�� �V r�, Address � 1�/ V � 1,���. R`�v
PhoneNumber ������v`��O J Date_ �— `�� '�
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Signature Witness Signature
OLD METER# �� � 1�D v ��
OLD READING ��� I l D
NEW METER# `��� V��
NEW READING �
ERT# ���I I"V�
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 arry water of sewer line connecting the existing municipal system and any ha,�se or building for which the
application is made,the owner or wrrtrador shall be required to obtain a permit for such connection,and shall pay a permit fee as pro�rided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shali 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 City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has�,r. � "
been exte�ded to the properEi�line for connection,the appliwnt,owner,or occupant or user of such premises shall be liabie 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 propert�►owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the mafrKenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. ft 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 induding debris dearing or
root cutting and to mairrtain 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)