Meter Swap . Request Number: 14420
+ Public Works Division
Service Request
Problem Address: 524 54th A�e Requested By: Kimberly Brooks
Department: WA'IER Address: No a�ress provided
Problem/Issue: INSTAL,L AMR METER Phone Number: 612-207-4935
Scheduled Date: 2017-04-10 Sc6ednled 1lme: 10:30:00
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ACTION NEEDED:
Cres�ted by: Beth Kondrick Date Created: 2017-03-30
ACTION T
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Status: In Progress 5nbmitter Has Beea r.
Cont�cted
Date Compieted: Completed by:
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� City of Fridley
� 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. I understand that the property owner is liabie for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06j 1 also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doir�this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb 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) ������
Name:� �c)�lt5'lg�� Address_�_�� �"V� ��
PhoneNumber ������ � I d�Date �� `_� `�
Signature Witness Signature
OlD METER# C�� J � "1 �O � l
OLD READING_���ilJ 2`�V
NEW METER#_'�L- l W �� I 1�
NEW READING �
ERT# ��i�i � � � �'
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 building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a pennit fee as provided in
Chapter ii 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 wch connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONPIECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the applicant,owner,or ocwpant o�user of wch premises shatl be liabk for all repairs
required to any water line and sewer lines necessary for connection of the premPses from the main to the premises. If!he property aerner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shaii be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance 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 w111 e�wre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)