Meter Swap 1
t
Request Number: �5080
Public works Div;sion
Service Request
--,.-r-
Problem Address: 5334 4th St Requested By: Lucy Meyer
Departme�: WA1ER Addresa: No a�h'ess provided
ProMemlIssue: INSTALLAMRMETER PhoneNumber: 612-508-1119
Schednled Dat • 2017-OS-I 1 � Sc6ednled Time:' 07:00:00
ACIION NEEDED:Rescheduled from c�ell�d appt.Elderty�wnuld like a fi�t,mitn�te call before hand if
possible.
Created by: Beth Kondrick Date Creanted: 2017-OS-01
ACIION TAI�N:
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M
Status: In Progress ���er Hss Been r.,
Contacted
Dxte Completed: �� "_/� Completed by: l�kY
Hours `'�
.
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City of Fridley �� � ��
Water Department (�
-�..
6431 University Avenue NE
Fridley,MAI 55432
763-572-3566
I/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all ierterior
plumbing. (Per C'�ty code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that ma�►ocwr whlle doing this
aperation. Tfiis to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit p�ior to any work,if necessary.
FINAL METER READING(old meter ��/�� �� "
)
Name: _ �(.l./ �`L��(� Address ���� � +h L'�_
7
Phone Number ���'�7�V ~� 1� � Date �~ �'C— ��
Signature Witness Signature
OLD METER# 6�/YJ�� i v 1
OLD READiNG �,Yi� l �Ul V
�
NEW METER# � L v `V� 6 4I
�
NEW READING
ERT# l � G ��� ��
FRiDLEY CfTY 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 existing municipal system and any house or buiiding for which the
appiication is made,the owner or contrector shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to caver
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 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 praperty line or a water senrice lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be liabte for all repaics
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 maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repai�s,inciuding necessary street repairs at a rate set annualiy by an administrative policy. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such hetght as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)