Meter Swap � � ,
e
Request Number: 14348
Public Works Division
Service Request
Problem Addreas: 6584 Anoka St Requested By: Richard Kednwsld
Departme�: WA1ER Address: No address provided
Problem/Is�ue: INSTAL,L AMR ME'IER Phone Number: 612-991-4474
Scheduled te: 2017-04-03 Sc6ednled Time: 07:00:00
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Crested by: Wcndy Hia�t Date Cre�ed: 2�17-03-28
ACIION TAKEN:
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Statua: In Prog�ress Sabmitter Hu Beea r
Co��ted
Date Completed: Completed by:
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City of Fridley
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Water Department
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing d�is
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL M R READING(old meter)__ /iu�� "� �
Name: ��C' "'" � J II�
_��1l�,1 Address_� C.�� PN�1�- ��
.
Phone Number �� 1% "1��'� ���� Date l �— ��
Signature Witness Signature
OLD METER# � ��O — t O V �
OLD READING_(�L1� I (���
NEW METER# _b���Z�W
NEW READING O
E�# ~l l � 2 ti'� 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 line connecting the existing municipal system and a�ry house or building fa whkh 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 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM 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 C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,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 connection of the premises from the main to the premises. If the property�rner
requests maiatenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appticaM,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main includir�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)