Meter Swap � " Request Number: 14572
.
Public works Division
Service Request
Problem Address: S21 53rd A� Requested By: Jason Kr�ger
Deputme�: WA'IER Address: No address provided
ProMem/issnec INSTALL AMR ME1ER Pbose Number: 763-670-4837
Scheduled Date: 2017-04-13 Schedaled 1lme: 02:00:00
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ACIION NEEDED:
Created by: Beth Ko�rick Date Crented: 2017-04-06
�1C."TION TAI�N:
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Statas: In Pro ess �bmitter Haa Been r,
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Dxte Completed: Completed by:
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. City of Fridley
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. I understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. f Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages tt�at may oaur while doi�this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand I am aiso required
to obtain a permit prior to any work,if necessary.
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F1�11 KA�R READING(old meter)
,.:
Name:�c/�,7��K �`► "�'1� Address r 7 l� ` � J�� i�'�V�
Phone Number ���� ��`�� ��J�ate 4����t�
Signature Witness Signature
OLD METER# I� �S �� ��
OLD READING 6� � O Kl ���
NEW METER# � 1 I�V v��,�
NEW READING �
ERT# I ��\ � ���
FRIDI.EY 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 connectiog the existing municipal system and ar�y house or buildir�g for which the
appiication is made,the owner or wMractor shall be required to obtain a permit for such connection,and shall pay a permit fee�provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. R shall be unlawful to cAver
any connecting line urrtil an inspection has been made and such 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 connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke kad has
been extended to the property line for connection,the appiicant,owner,or occupaM or user of such premises shall be liable for all 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 mairrtenance service or repairs be performed by the City,the property owner shall 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 responsibil'rty of the applicar�t,
owner,occupar�t 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 wch height as will enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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