Meter Swap a ,
Request Number: 15003
Public Works Division
Service Request
" Problem Addreas: 5331 6th 5t Requested By: Kevin Mincl�r
Departmeut: WATER Addreas: No address provided
Problem/Issue: IN5TALL AMR METER Pbone Number: 612-306-9876
Schcduled Dite: 20I7-OS-03 Schedule�1lme: Q7:00:0(1
AC770N NEEDED:
Cres�ted by: Wendy Hi�t Dste Crentad: 2017-04-27
ACIION T .
l�- 1 �
Sts�us: In Progress Snbmitter Has Beaa �..,
Co��ted
Date Com�eted: Completed by:
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City of Fridley �2
Water Department
6431 University Avenue NE C�� ��G�
Fridley,MN 55432 �� b
763-572-3566
VWe hereby authorize the City of Fridley artd/or its employees to do what is necessary to
reptace the water meter. t understand that the property owner is liabte for the water line from the mairt to the prsemise and all ir�terior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/�ts employees harmless for any damages that may ouur while doing this
operation. This to i�clude,but not limited to va(ves,piping,walts,floors or the wrb stop box and service line. In understand I am aiso required
to obtain a permit prior to any work,if necessary,
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INAL METER READING(old meter)
Name• ��,���_�L Y�G� Address � ��� �+� J`
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Phone Number_ r ate
Signature_ Witness Signature ,
OLD METER# � � v f �
OLD READING �i� � � (.�� 0
NEW METER# l- IJ- `O�l� J
NEW READING v
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FRtDLEY CITY CODE
CHAPTER 402,WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATlON
(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 building for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such connectlon,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water artd Sewer Departmer�t shal!be notified. it shal!be un�awful to cover
any connecting fine 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 connedion.
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 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 of the premises from the main to the premises. If the property owner
requests mairttenance service or repairs be pe►fiormed by the City,the property owner shall be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an admirristrative policy. It 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 includtn,g debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finisshed
grade of the land or property. (Ref 638,1156,1191j