Meter Swap *�• Request Number: 14283
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Fublic Works Division
Service Request
Problem Address: 1489 64th A� Reqaested By: La�e
De�wrtment: WATER Address: No adckcss provided
Problem/Issue: INSTALL AMR ME1ER Phone Namber: 612-799-2471
Schedaled . 2017-03-30 Scheduled 1ime: 10:30:00
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ACTION NEEDED:
Created by: Wendy Hia�t D�e Cre�ted: 2017-03-23
ACTION TA1�EN:
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StAtus: In Progress ��rter Has Beee r
CoM�ted
D�e Completed: Comgleted by:
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Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or Fts 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 iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing�is
operation. This to include,but not limited to vahres,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��V � �� O
Name• '^�"'`�— Address ��� !v� � �(�/-Q�
Phone Number�✓` v Y ► ►� V 1� i Date d ���'� ��
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8 Witness Signature
OLD METER#���v �� � S �„�,,.o>�
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OLD READING �—LO� [,��� N"�'�" '
NEW METER I � �� �i�
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NEW READING
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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 a�water of sewer line connecting the existing municipal systern and ar�y house or buiiding 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 in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shali be notified. it shall be unlawful to�ver
any wnnecting 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 suitable wnnection.
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 Iine or a water service lead has
been extended to the property line for connedion,the applicant,owner,or occuparit or user of wch premises shall be liable for ali repairs
required to any water line and sewer lines necessary for connection of the premises f�om the main to the premises. If the property�rner
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 policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main i�ludirg�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)