Meter Swap {
` Request Number: 14797
Public Works Division
Service Request
Problem Address: 564 53 1/2 Ave Requested By: James Balcer
Department: WA'1� Address: No address p�ovided
Problem/issuc: INSTALL AMR ME1ER Phone Number: 763-572-9034
•� -�"' � duled Date: 201?-04-24 Sc�edeled 11me: 11:30:00 .
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AG7ION NEEDED:
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Cr"-. Beth Kondrick Date Cres�ted: 2017-04-19
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Status: In Prog�ress ��rter Has Been �..
Co�acted
Date Completed: (,..��,�� i� 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. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 aiw hold the City of Fridley and/'ns empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� � G �
Name: �����I'y1�C� ��� Address �Jl.�� �� ,��+ ��
Phone Number_ ���� �v� � 1`�v 1 Date ! r v` l� ��
Signature Witness Signature
OLD METER# � I v��� �
OLD READING �✓����
MfW M{ETER# l 1O`� V J� i
NEW READING �
ERT# ���� �� ��
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 any water of sewer tine connecting the existing munic�pal system and arry house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provi in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. R shall be unlawful r
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City
proper and suitable connection. '
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402.06 REPAIRS AND MAINTENANCE TO CONNECTtON �;_ .�"
After the initial connection has beeo made to the water servtce aub stop box or the sewer lead at the property line or a water senrice kad has
been extended to the property line for connection,the applicant,owner,or occuparK or user of such premises shall be Ifable for all repairs
required to any water line a�d sewer lines necessary for connection of the premises from the main to tfie premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�enance 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 tine from the premises to the main incfuding deb�is cfearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will e�sure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,3191)