Meter Swap � ;� Request Number: 15377
r Public works Division
Service Request
Problem Address: 1330 52nd Ave Requested By: Jesse
Department: WA'IER Address: No address provicied
ProWem/Issue: NRN WA1ER ON/0FF Phone Number: 763-477-2193
SchedWed Dxte: 2017-OS-18 Scheduled'Rme: 08:00:00
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ACTIDN NEEDED:Turn off vuater for repair.***BILL****
Createdby: Wex�yHiatt DxteCreated: 2017-OS-16 '� �
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ACTION TAKEN:
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Status: In Progress Snbmitter Has Been r
Co�acted
Date Completed: Completed by:
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. City of Fridley � �� I // 3�O� '��`
Water Department ��«�
6431 University Avenue NE �p, � ����
Fridley, MN 55432 U
763-572-3566
I/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the wate�line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operatton. This to include,but not limited to valves,piping,walls,floors o�the cur6 stop box and service line. In understand t am atso rec{uired
to obtain a permit prior to any work,if netessary.
FINAL METER READING(old meter)
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Name:,������ ✓�/�/ Address r�rJV � 5a ���
Phone Number Y � / � Date � � vr r�
Signature ` ' Witness Signature ��""�'�
OLD METER# � �,J t C�
1
OLD READING 1 � / ���Q
NEW METER#_ b U�O �Cl� l
NEW READING �
ERT# � t �� 0� � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
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
appiication is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shali be not�ed. 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 b�the C'ity 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 extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be liable for ali 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 maintenance service or repairs be perfiormed by the�ty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibil'rty of the applicant,
' owner,occuparit or user to perform standard maintenance of the sewer service fine from the premises to the main including debris clearing 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 finished
grade of the land or property. (Ref 638,1156,1191)