Meter Swap -� Request Number: 14486
Public Works Division
Service Request
Problem Address: 1335 52nd Are Requested By: Ronald Hoffman
Department: WA1ER Address: No address provided
Problem/Issne: INSTALL AMIi METER Phone Namber: 763-574-0306
Schedaled Dnte: 2017-04-07 Schedaled 1ime: 08:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Crented: 2017-04-03
ACTION TAI�N: '
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Status: In Progress Snbmitter Haa Been �..
Coutacted
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we 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 liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees ha�mless for any damages that may oacur while doir�this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �' ' � ��
Name• � m� Address ���)� ��� �
Phone Number `Y-� � � ^O Date ��,"� �
Signature Witness Signature
OLD METER# ��JJ��U IY 1 ��
.
OLD READING �� � � �O
NEW ME7'ER# �—t������
NEW READING �
E�# 1 2Z22 � � 2
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 af sewer line connecting the existing municipal system and arry ha�se or buiiding for whkh the
application is made,the owner or co�ractor shatl be required to obtain a permit for such wnnection,and shall pay a permk fee at provided in
Chapter 31 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the Clty as a
proper and witable connestion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has bee�made to the water service wrb 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 lioe and sewer lines necessary for conneetion of the premises from the main to the premises. ff the properly owner
requests maintenance service or repairs be perFormed by the City,the Qroperty ow�e�shall be charged for the costs of the maiMenance andJor
repairs,including necessary street repairs at a rete set annually by an administrative poliry. It shall be the respansibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding 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�nished
grade of the land or property. (Ref 638,3156,1191)