Meter Swap " Request Number: 14260
Public Works Division
Service Request
Problem Address: 1310 52nd A�e Requested By: Redman
Departme�: WA'lER Addresa: No ad�ess pcovided
Problemllssue: INSTALL AMIL METER Phone Number: 763-571-4140
Schedoted Date: 2017-03-28 5cbedalsd Tlme: 11:00:00
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ACTION NEEDED:
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� Created by: Beth Kondrick 1Mte Crerted: 2017-03-22 ���`�`
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ACTION TAI�N:
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5tatus: In Progress Sabmitter Ha:Beea �..
Contacted
Date Completed: ���C� .�.�"7' 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 andjor i�empioyees to do what is ne�ssary to
replace the water meter. i understand that the property owner is Itable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the Gty of Fridley and/its employees harmleu for any damages that may ocwr while doing thts
operatfon. This to include,but not limited to valves.piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ����`��
Name: ��i���.� Address ���v �W� �, ,
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Phone Number ��✓� �/� � � ,�� Date _ �� �~��
Si nature �1
8 Witness Signature
OLD METER# l�� �/(7"�y���_
OLD READING l05 / ���
NEW METER# �V l� � � `�
NEW READING V
ERT# � � � � ����
FRIDLEY CITY CODE
CHAPTER 4fl2.WATER,S70RM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or 6uilding far whtd�the
appiication is made,the owner or contrector shall be required to obtain a permit for such connectbn,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shail be notified. it shall be unlawfui to cover
any conneding line until an inspection has been made and wch connection and the work incident thereto has been approved br the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial cflnnection has been made to the water service curb stop box or the sewer lead at the property line or a water servia lead has
been extended to the property line for connection,the applicant,owner,or octupant or user of such premises shall be ttable for aN repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests mainteaance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. it shall be the responsibility of the applipnt,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main induding 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 finlshed
grade of the land or property. (Ref 638,1156,1191)
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