Meter Swap .
. � Request Number: 14557
Public works Division
Service Request
Problem Address: 556 53 1/2 A�e Requested By: Ar�ld Sylwester
Department: WATER Address: No address provided
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-572-9014
Scheduled Date: 2017-04-11 Schednled'ilme: 01:00:00
.
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ACTTON NEEDED:
, Created by: Beth Kondrick Date Created: 2017-U4-06
ACITON TAl�1�I:
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Status: In Progress 5nbmitter Has Been r,
Contacted
Date Completed: �� /��' � Completed by: ��
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y City of Fridley �� � ���d
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) I also hold the City of Fridley and/its empioyees harmless for aoy damages that may occvr while doing this
ope�ation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) I�r � �ti
Name:___�1�� � '^�/`�vY Address ��"' �� � �_
Phone Number ��+'3��� � �V '�� Date ��� �� •�
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Signature Witness Signature
OLD METER# l��lfJav�� L�
OLD READING �U"I ���
NEW METER# � ���07`��7
NEW READING �
ERT# ��� / �1�✓ ��..
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 arry water of sewer line wnnecting the existing municipal system and any house or buildi�for whid�the
appiication is made,the owner or coMractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until 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 service lead has
been extended to the property line for connection,the appiicaM,owner,or occupant or user of such premises shall be liabie 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 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 appliprrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding deb�is dearing or
root cutting and to maintain the water service curb stop box fo�operability and at such height as will ensure that it remains abo�the finished
grade of the land or property. (Ref 638,3156,1191)