Meter Swap � Request Number: 14801
� Public Works Division
Service Request
Problem Address: 5315 Sth St Requested By: Ron
Department: WATER Address: No address p�rovided
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-213-9570
Schednled Date• 2017-04-26 Scheduled 11me: 02:00:00
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AC'1ION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-04-19
ACIION TAI�N:
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Status: Ix►Progress Submitter Haa Been �..
Contacted
Date Completed: Completed by:
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� ' City of Fridley �� � ��l �
Water Department
b431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/we hereby authorize the Ciry of Fridley and/or its employees to do what is necxssary to
replace the water meter. 1 understand that the property owner is liable for the water Iine from the main to the premise and ali interior
plumbing. (Per City code 402.06) i also hold the City of Fridley�nd/'Ks employees harmless for any damages that may ocwr while doing this
operation. This 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 prior to any worlc,if necessary.
FINAL ME7'�R READtNG(oid meter) t ��� �"t��
Name•_ �0� Address � J�� �� ��
Phone Number �������� F'���pate ���� ��
Signature ,� W�(tiress Signature ��'
OLD METER# � ��� �� J� �
OLD READING -!�
NEW METER# '�i {�� .
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NEW READING O ��"
ERT# � �-`L Z �jZ� !
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ortl�113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
applicatio�is made,the owner or contractor shali be required ta obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawfui 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 AND MAINTENANCE TO CONNECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water aervice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for conrtection 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 maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility�the applt�nt,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main including debris clearing or
root cuttirtg and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the flnFshed
grade of the land or property. (Ref 638,1156,1191)
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