Meter Swap ' Request Number: 14475
Public works Division
Service Request
Problem Address: 1333 53rd Awe Requested By: Joe Cazlson
Deps�rtment: WA'IER Address: No address}xovided
ProblemJTcs�: INSTALL AM[t METER Phone Number: 763-228-8053
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Schednled D>tte: 201?-04-10 Schednled 13me: 02:00:00
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Created by: Beth Kondrick Date Created: 201'7-04-03 "
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Status: In Progress Sabmitter Has Been r
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City of Fridley ��� 3(f�
Water Department '
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/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 irKerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. tn understand I am also required
to obtain a permit prior to any work,if necessary.
FiNAL METER READING(old meter) _ i��t/ ���
Name: �� ��J�� Address_ I�J� ���� '�_
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Phoae Number ��3�O�t!'� ���� Date v(" �� 1
Signature Witness Signature '"
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OLD READING ty � O��v ,: �
NEW METER#
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NEW READING �
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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 tonstructing or repair of any water of sewer line connecting the existing municipal system and any house or buildi�fw which the
application is made,the owner or coritractor 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 sucfi connection fias been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line uMil an inspection has 6een made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water sewice lead has
been extended to the properry line fo�connection,the appticant,owner,or occupant or user of such premises shall be liable for aii repairs
required to any water line and sewer lines necessary for connectPon of the premises from the main to the premises. 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 mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applipnt,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water senrice cu�b stoq box for operabifity aod at sucfi height as wif{ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)