Meter Swap ��
` Request Number: 14839
Public works Division
Se�vice Request
Problem Address: 564 54th Ave Requested By: Violet Jurek for neighbor
Department: WA'IER Address: No address p�ovided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 572-9028
Scheduled Date: 2017-04-25 5cheduled 1Ime: 11:30:00
_T� i z�.� '
ACTION NEEDED:
Crented by: Wendy Hiatt Date Crested: 201?-04-20
ACTION TAI�N: �� -^
�11�.�,...__...._. �__. ���L
Status: In Progress Sabmitter Ha�Been r
Coutacted
Dxte Completed: Completed by:
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City of Fridley ,�C7 .�' �j� ( �
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
VWe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replac�the water meter. I understand that the property owner ls liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its 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 1 am also required
to obtain a permit prior to a�y work,if necessary.
FINAL ME7ER READING(old meter) �� � U (i�v
Name: y tid�� (���� Address__�� 1 �J � T�
Phone Number �� Date � ��� ��
Signature Witness Signature
OLD METER# � �� � �� � J
OLD READING D 1 �� L ��
NEW METER# `�1�- 1� C>���
NEW READING V
ERT# � (�L�� � �J
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 line connecting the existing municipal system and anY house or buildi�for which the
application is made,the owner or contractor shail 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,the Water and Sewer Department shall be n�titied. It shatl be unlawful to cover
any connecting line until an inspection has been made and such connection a�d 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 wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water service tead has
been extended to the property line for connection,the applicant,owner,or occupaM or user of such premises shall be IPable 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�vner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs aE the mairrtenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,oaupant or user to perform standard mairitenance of the sewer service line from the premises to the main induding debris clearing 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 638,3156,1191)