Meter Swap �
` Request Number: 14297
Public Works Division
Service Request
Problem Address: 1400 66th Ave Requested By: Allen Erickson
Dep�rtment: WATER Address: No ad�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-502-0250
Scheduied Date: 2017-03-30 Schednled 11me: I 1:00:00
�
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-03-24
AG7ION TAI�N•
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Status: In Pro�ess Snbmitter Hat Been r.
Contacted
Dxte Completed: Completed by:
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` City of Fridley ,.{._�
Water Department ��1 -�}— � l��
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/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 liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,wafls,floors or the wrb stop lsox and servke line. In understand t am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �r�� � —1 v
Name•_��'`��� � i � Address_��VU �� r"�VL
Phone Number__d+v�r olj�D� Date �� JO� ��
Signature Witness Signature
OLD METER# � U�`7 �' 1 �C/�
OLD READING D��U � I D
NEW METER# �� �1U�� `�
NEW READING 1 1
ERT# � 1� ��V ���
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 f�whid�the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee a�provided in
Chapter 11 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 suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has bee�made to the water service curb stop box or the sewer lead at the properry line or a water servtce lead h�
been extended to the property line for connectio�,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the praperly owner
requests maiMenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debrts dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)