Meter Swap �
� Request Number: 14939
Public Works Division
Service Request
Problem Address: 5315 4th St Requested By: Pat
Department: WA'IER Address: No address provi�d
Problem/Issue: INSTAL,L AMR METER Phone Number: 612-390-1160
Scheduled Date: 2017-04-27 Schednled 1ime: 08:30:00
( ��'�' �=�s
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-24
AC'IION TAI�N:
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Status: In Progress Snbmitter Has Been r.
Contacted
Dxte Completed: �,,,, 1 � /� Completed by: (�p�
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• City of Fridley S�� ���
Water Departrnent
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 tfie main to the premise and att iMerior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/'ns employees harmless for any damages that may occur while doing this
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,ff necessary.
FINAL METER READING(old meter) �� f � � �
Name• G�1•� Address_ ��4"✓ �` � �
Phone Number �V��� L� � v�"`v Date �~�� � � �
Signature Witness Signature ��
OLD METER# "� G�� �✓
OLD READING �� �
� 1 �
NEW METER# � Id`O �v��
NEW READtNG Q
ERT# r�0`�����
FRIDLEY CITY CODE �;`
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water a�d 5ewer Department shall 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 City as a
proper and suitable connection.
402.06 REPAIRS AWD MAINTENANCE TO CONNECTION
After the initial conoection has been made to the water service curb stop box or the sewer lead at the property line or a water service 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 aF the premises from the main to the premises. if the property owner
requests maintenance service or repairs be perf'ormed by the City,the property owner shall be charged for the costs of the mairrtenance a�d/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responst6ility of the applicaM,
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 height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)