Meter Swap Request Number: 14815
Public Works Division
Service Request
Problem Address: 580 54th Ave Requested By: Courtney
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Nnmber: 651-402-7633
SchedWed Date: 2017-04-25 Schednled Time: 08:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-20
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Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: �..��,��� Completed by: C a�
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City of Fridley C"��l�`
Water Department � � � ��O
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/W►e hereby authorFze the City of Fridley artd/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 interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocau while doing thls
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,ff necessary.
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FINAL METER READING(oW meter) �� " ��
Mame: \r���(� Address � tJ� "�� ��- t :.
Phone Number ���� �����1Y�3 Date !✓ ��✓ 1�
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Signature Wftness Signature
OLD METER#_ � `��� ���
OLD READING ��v lS��� '`�
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NEW METER#_ I�� ��- I� / �
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No I13,464,565,566,629,638,662,9Z2,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and am►house or building for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permk 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 appro�red 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 kad has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be I'wble 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 maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibil'rty of the applicaM,
owner,occupant or user to perForm standard maintenance of the sewer seroice 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 such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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