Meter Swap .-,
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Request Number: 14371
Pe�blic works Division
Service Request
Problem Address: 1410 66th Ave Requested By: Austin
Department: WA1ER Addresa: No address provided
ProMem/Tssne: INSTALL AMR ME1ER Phone Number: 218-536-1345
Scheduled D�te: 2017-04-04 Schednled 1lme: 01:00:00 I�
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ACIION NEEDED: I
Created by: Beth Kondrick Date Created: 2017-03-28 ''
ACTION TAI�N: ,
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Status: In Progress Submitter H�s Been r I
Coutacted I
Date Completed: Com eted b : I'
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�° 5� �- 33Z�
City of Fridley
Water Department
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 ne�essary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbi�g. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and servtce line. In understand I am�fso required
to obtain a permit prio�to any work,if necessary.
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FINAL METER READING(oid meter) � �
Name: ����, Address �� l O ��� �V � i,
Phone Number �_l U ~ �J"� � ���v pate_�('���1�
Signature Witness Signature I�
OtD METER# �✓�w � � `� �� I
OLD READING 2�Z�v F O '
NEW METER# `I ` � �� I I,
NEW READING O j
ERT# I ���l�t>�, � 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 Iine connecting the existing muntcipal system and arry house or buildir�for wF�'ich the
application is made,the owner or wntractor shall be required to obtain a permit for such connection,and shall pay a permR fee as�rovkled in
Chapier 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unla�hrful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by�I�City as a
proper and suitable connectlon. '
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 line or a water servi'ce lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premtses shall be liable for all i�epairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the propertylowner
requests maintenance 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 policy. It shall 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 including 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)