Meter Swap � a
Request Number: 15995
Public Works Division
Service Request
Problem Address: 6175 Briardale Ct Requested By: Chris
Department: WATER Address: No address provicied
Problem/Issue: L.EAKING ME1ER Phone Number: 651-368-3365
Scheduled Date: 2017-06-15 Schednled 1lme: 0?:00:00
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ACITON NEEDED:Meter is leaking.
Created by: Wendy Hiatt Date Created: 2017-06-14
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been r..
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department �'� #, (.� T�
5431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do whaR 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 C7ty of Fridley and/its employees harmless for arry damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls.floors or the curb stop box and senrice line. In understaed 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � � ��V
Name: Address IC7� �� D� V�`��� ��
Phone Number Date � I����
Signatur <� " �• Witness Signature
OLD METER# �4� V
OLD READING I � � ��Q
NEW METER# `C�'C7� � l� `�
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NEW READING �
ERT# ` � �� b��`
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) �
4025 PERMIT FEE
Prior to canstructing or repai�of any water of sewer line connecting the existing municipal system and any house or buikling for which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,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 shall be not�ed. It shall be unlawf�l to cover
any connecting line until an inspection has been made and wch cannection and the work incident tfiereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property iine for connection,the appl7cant,owner,or occupant or user of wch premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mai�ttenance and/or�:.
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applfcarrt,
owner,occupant or user to perform standard maintenance of the sewer service li�e from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)
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