Meter Swap ' Request Number: 14384
Public Works Division
Service Request
Problem Address: 1518 Berne Rd Requested By: Peter
:,� Department: WATER Address: No address psovi�d
. Problemllssue: iNSTALI:AMR METER Phone Number: 612-965-8546
_ Sche e: 2017-04-10 Schednled 1lme: 1 L:30:00
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ACIION NEEDED: `
Crented by: Beth Kot�rick Date Created: 201'7•03-29
AC'"1'iON TAI�N:
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Sabmitter Has Been �
Status: In Progress Cont�ted r
Date ComQleted: ��' /�,\ �� Compieted by: �Qr,�
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�1We 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 ail interior
plumbing. (Per City code 402.06) 1 also hold the City af Fridley andfits employees harmless for any damages that may oaur while doing this
operation. This to indude,but not limited to vafves,piping,walls,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� ���v
Name: �l��{ Address �� ( �./ ��''�f � �E �-
Phone Number lJJ 42" lU/�� ��"�� Date y � V� � ��
Signature; Witness Signature
OLD METER# ���� I�O�O
OLD READING G7'`t/ �� ` �v
NEW METER# 1��� � � t �
NEW READING �
ERT# �� � � � � ! �
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)
40Z.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buifding 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 feA as 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 co�r
any connecting tine uMil an inspection has been made and such connedion and the work incident thereto has been approved by the C'ity as a
proper and suitable connection.
4fl2.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the tnitial connection has been made to the water senric�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 sud�premises shall be liable for aU repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner sfiall be charged for the costs af the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative pol(ry. It shall be the responsibiltty of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will enwre tfiat it remains above the finished
grade of the land or p�operty. (Ref 638,1156,1191)