Meter Swap �
- Request Number: 14895
Public works Division
5ervice Request
Problem Address: 581 53 1/2 A� Requested By: Jody
Departme�: WATER Addresa: No a�dress protided
Problem/Issue: INSTALL AMR ME1ER Phone Nnmber: 651-278-2848
Schedul 2017-04-27 Schednled 1lme: 10:00:00
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A(.7ION NEEDED:
GYeated by: Wendy Hiatt DaEe Created: 2017-04-24
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Status: In Progress Snbmitter Haa Been r,
Co�acted
Date Compteted: �_ 1 �� Completed by: � �
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� City of Fridley S� � ����
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
U�+�+e hereby authorize the Qty of Frtdley and/or its employees to do what is necessary to
replace the water meter. i understand that the property ow�er is liable for the water line from the main to the premise and all inte�ior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand(am aiso rcquired
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterJ � �� `� v
Name: �1 D ��'I Address J� , � �'l Z -�Y-' ,
Phone Number
v+�J ��-�„��'�4 V"/V Date �~ �� ` �' 1
S� n0ture _
�8 Witness Signature
OLD METER#
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OLD READING � I����
NEW METER# ���v �� ��
NEW READING O
ERT# ��������
FRIDLkY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANfTARY 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 af any water of sewer tine connecting the existing municipal system and any house or buifding for which the
application is made,the owner or contractor 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 such connection has been made,tfie Water and Sewer Department shatl be notified. It shall be unlawfui to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAiA1TENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Itne or a wate�service lead h�
been extended to the property line for connection,the appliprrt,owner,or occupant 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 owne�
requests maintenance service or repaPrs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the maln including debris clearing or
root cutting and to mairrtain the water service arb stop box for operability and at such height as will ensure that it rerr�ains above the finished
grade of the land or property. (Ref 638,1156,1191)