Meter Swap �
� Request Number: 16123
Public works Division
Service Request
Problem Address: 6731 4th St Requested By: Asheley
Department: WA1ER Address: No address provid�d
Problem/issue: INSTALI.AMR METER Phone Number: 952-454-1652
Schedule� nte: 017-07-O5t��{ 5cheduledl3me: 08:00:00
J�
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201'7-06-?3
ACTION T.AI�N:
..........................�.�.....�q..���........necni.._.���_._.._.._.._...._.._..._._......................_......__�......_....._.__._._.._�......�..._._._..
Status: In Progess Submitter Has Been r
Contacted
Date Completed: Completed by: ��� ��„`
Hours ���,t� �
��lf ��3�� -��� ��
� ,; � City of Fridley ��� ����
- Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We - he�eby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water mete . f understand that the property owner is liable for the water line from the main to the premise and afl ir�terior
plumbing. (Per C'ity code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and seroice li�e. In understand i am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meterj C?l� i V l O
Name: Address tG>�� � �� S�-
Phone Number Date
Signature Witness Signature
t3LD METER# I�OZ_Z�Z-q(
OLD READING ���J�O ---- ---
NEW METER# �III
Ib�IiM�
alilaNlN
I�II�
�4��226055 � �
NEW READfNG — C� '.^'_ _ __ __ . ,
ERT#.� IIIIIIIIIIIII{IIIIiIII E '
11 72356644
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIMISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or�epair of any water of sewer line connecting the existing municipal system and arty house or building for which the
application is made,the owner or coatrador shall be required to obtain a permit for such connection,and sha{I pay a permR fee as p�ovided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmeot shall be not�ed. it shall be unlawful to crnrer
any connecting line untit an inspection has been made and such connection and the work incident thereto has been approved by the C"rty as a
proper and suitable connedion.
�02.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box er the sewer lead at the property line or a water senrice tead has
been extended to the property line for connection,the appficant,owner,or occupant or user of wch premises shall he liable for alt repairs
required to any water tine 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 properly owner shail be charged for the costs of the mairrtenaoce and/or
repairs.inciuding necessary stseet repairs at a rate set annually by an administrative poliry. It shatl be the responsi6itity of the app{icarrt,
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 mairitain the water senrice 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)