Meter Swap Request Number: 16167
�
. Public Works Division
Service Request
Problem Address: 670 59th A�e Requested By: �nn Mueller
Department: WATER Address: No a�dress provided
Problem/Issue: INSTALL t1MR METER Phoae Number: 763-300-4610
Scheduled Date: 2017-06 8 � Schednled 1lme: 10:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2U 17-06-27 _
A ON TAi�N: ��
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Statu�s: In Progress Submitter H�s Been r.
Contact�d
Date Compteted: Completed by:
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�City o#Fridley c �.� 'L�I 1 �
Water Department J ��� �
6431 University Avenue NE
�„� � Fridley,MN 55432
763-572-3566
I/we hereby authorize the City af Fridiey and/or its em�loyees to do what is�ecessary 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 ir�terior
plumbing. (Per Crty code 402.06) I also hold the City of Fridley andPts employees harmiess for arry damages that may occur while doing this
operation. This to inctude,trut not limited to valves,pipirtg,walfs,floors or the airb stop box and service tine, tn understand 1 am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READIPIG(old meter)
Name: ��� ����VW`1 Address �o�V c) �� �v �'
Phone Number� � � �J p� � � 2,�� ��
Si n Witness Signature
OLD METER# � ��� ���� _ .
OLD READING O��� 1 c7�./
NEW METER# I 1������
NEM/ READING O
ERT# � ����O lU�
FRiDtEY CITI CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
A�MINlSTRATION
(Ref Ord No 113,464,565,566,b29,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or building for which t�e
applecation is made,the owner or contractor shaf I i�e required to obtain a permit for such connectiort,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartmerrt shali be notified. It shafl be urtlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabfe connection.
402.06 REPAIRS AND MAINTENANCE TO COPINECTION
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 iead has
been extended to the property line for connection,the applicarrt,owner,or occuparrt or user of such premises shall be tiable for all repairs
required to any water tine and sewer IFnes necessary for connection af the premises frorrr the main to the premFses. ff the property oar�r
requests mairrtenance service or repairs be perFormed by the City,the property owner shall be ch�rged for the costs of the maim:enance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. it shall be the responsibility af the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the maln induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)