Meter Swap ` Request Number: 14751
Public Works Division
Service Request
Problem Address: 1311 52nd A�e Requested By: Ralph Mallwitz
Department: WATER Address: No�ddress provided
Problem/Issue: INSTAi,L AMR METER Phone Number: 763-586-9926
Scheduled Dnte: 2017-04-20 Schedaled 1lme: 08:30:00
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�ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-18
ACTION TAI�N:
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Status: In Prog�eess 5ubmitter Has Been r
Contacted
Date Completed: �,.,��,`�► Completed by: \ ���
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City of Fridley �� � � �O�
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/N+e hereby authorize the City of Fridley and/or tts empbyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oa�r while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service(ine. In understand I am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(o!d meter) �.�f�lV���
Name: Ct.� 1� V' ��i�2--' Address ��`� �� � '�
Phone Number �lfL� �vv�'� Iq�'`r Oate __ �r' a`;-� ~l,�
Signature W[tness Signature
OLD METER# (:�✓cJ `� �� �
OLD READING C � �V YJ ✓ �D
NEW METER# l i �� ��� V
NEW READING �
ERT# � �O'���� ( �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464�565,566,629,638,662,922,988,1144,1156,1191j
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
application is made,the owner or contracto�shall be required to obtain a permit for such connection,and shail pay a permit f�e as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shal{be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such con�ection and the work incident thereto has been approved by the C�ty 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 properly IPne or a wate�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 alt repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the prcmises. 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 mairKenance and/or
repairs,including necessary street repairs at a rate set annually by an admi�istrative 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 including debris dearing 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)