Meter Swap ,
- Request Number: 14395
Public works Division
Service Rjequest
Problem Address: 569 54th A� quested By: Law�e
Deputment: WAZER ess: No address provided
Prableml�ssuc: INSTALL AMR ME'IER P ne Namber: 572-9280
Scheduled Date: 2017-04-06 6edeled 11me: 02:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt D e CreAted: 2017-03-29
ACIION T.,[�N:
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Status: 1n Progress bmitter Has Been r,
C �acted
Date Completed: C mpleted by:
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City of Fridley ��� ����
Water Department
6431 University Avenue NE
Fridley,MM 55432
763-572 3566
�/We hereby authoriz 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 liable f r the water line from the main to the premise and all iMerior
plumbing. (Per City�de 402.06) I also hold the City of Fridley and/its e ployees harmless for any damages that may oca�r whik doir�g this
operation. This to include,but not limited to vaives,piping,walls,floors r 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• �'�'"� ��� Address �'�I �L �`C�
Phone Number ���^��� Date � `�^ �
Signature Witne Signature
OLD METER#�,Z�� 1 ` ��
OLD READING �� �� � �J
NEW METER# —1" 1 �� 4��
NEW READING�
ERT# � � �� ����
FRIDLEY CI CODE
CHAPTER 402.WATER,STORM ATER AND SANITARY SEWER
ADMINIST TION
(Ref Ord No 113,464,565,566,629,6 8,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the e isting municipal system and any house or buiWing 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 ia
Chapter ii of this Code. After such connection has been made,the Wate and Sewer Department shall be notified. It shall be uelawful to wver
any connecting line unti!an inspection has been made and wch connecti and the work incident thereto has been appro+ned by the Gty 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 ox or the sewer lead at the property line or a water servise lead has
been extended to the property line for connection,the applicant,owner, r occupant or user of wch premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of th premises from the main to the premises. If the property owner
requests maintenance senrice or repatrs be performed by the City,the pr rty owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rete set annually by an ad inistrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard maiMenance of the sewer rvice line from the premises to the main inaluding debris clearing or
root cutting and to maintain the water service curb stop box for operabil' and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)