Meter Swap ` _ �
R�
- Request Number: 14743
Public Works Division
5ervice Request
Problem Address: 5360 7th St Requested By:
Department: WA'IER Address: 5360 7th St
Fridley,MN 55421
Problemifssue: INSTALLAMRMEIER PhoneNmnber: 763-321-5903
Sc6eduledDate: 2017-04-22 � Schednled'ITme: 09:00:00
r� 2'`�
ACTION NEEDED:
Created by: Beth Kondrick Date Creatcd: 2017-04-17
AC'TION TAI�N:
Statns: In Progress Submf tter Has Been r
Contacted
Date Completed: Completed by:
�o � - 4-6� 0 �'�65
� City of Fridley � � � ��� �
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
��'� 763-572-3556
�.
�/�e 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 liabie for the water line from the main to the premise and all ir�terior
plumbing. {Per City code 402.06) i a{so ho{d the C'rty of Fridley and/its 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 work,if necessary.
FINAL METER READING(old meter) �� `'��^-�`�
Name• pddress� 1� 5 '
- Phone Numbe ,�' 1V Date
Signature Witness Signature
OLD METER# ��1 �V��
OLD READING �'1 Z� •U
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NEWM�-ER# �III�IIIIa�II1iI�i����l� �
� 49208113 {.�:,. � �.. -
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NEW READING `�--- -
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ERT#r; IIIIIIIIiIIiIIIIIIiIIi E �- -
� 11 72223073
_ - - - - FRIDLEY CIIY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN{STRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988.1144,1156,1191)
4�02.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system artd arty house or buitdtng for which the
appiication is made,the owner or contractor shall 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 fias been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any conned(ng line untii an inspection has been made and such connection and the work inciderrt 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 property line or a water service lead has
been eutended to the property line for connection,the applicant,owner,or occuparrt or user of such premises sha116e liable fo�all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owner
requests maintenance service or�epairs be performed by the City,the property owner shaH be ch�rged for the costs of the mairKenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applftaM,
owner,occupant or user to perFo�m standard mair�tenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop boz 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)