Meter Swap r ` Request Number: 14331
Public Works Division
Service Request
Problem Aaddress: 1630 Camelot Ln Reqaested By: Nema
Department: WATER Acidtess: No address provi�d
Problemllssue: INSTALL AMR ME1ER Phone Nnmber: 612-417-0664
Schedulcd DAte: 2017-04-03 Scheduled'Iime: 11:OQ:00
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ACIION NEEDED:
Creuted by: Wer�iy Hiatt I�te Created: 2017-03-27
AC�N TAI�N: �\��
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Status: Tn Progress Submitter Has Bcea r
Contacted
Date Co�pleted: Completed by:
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` City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
1/we hereby authorize tfie City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ail interior
pfumbing. (Per City code 402.�6) 1 also hold tfie City of Fridley andJits employees harmless for any damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walls,floors ar the curb stop box and service line. In understand!am also required
to obtain a permit prbr to any work,if necessary.
FINAL METER READING(old meter) ( � �� � I _
Name• N��.. Address L��� �l�!(��YV� l�h
Phone Number �����' �� pate �� V✓ '�
Signature Witness Signature
OLD METER# 1� J� � �lJ
OLD READING_ � t�� �Z�
NEW METER# �-i D�O �� g�
NEW READING O
ERT# � � "I � � 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 connecttng the exist�ng municipal system and any house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such wnnection,and shafl pay a perm)t fee as provided in
Chapter 11 of thls Code. After such connection has been made,the Water and Sewer Department shall be notif9ed. It shaff be uniawful to cover
any connecting line until an inspection has been made and such connection and the work incldent thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
Afte�the initial connection has been made to the water service curb stop box or the sewer lead at the property Iine or a water servke kad has
been extended to the property line for connection,the appticant,owner,or ouupaM or user ot'such premises shall be IiaWe for aii 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 oarner shall be charged for the costs of the matMenanae and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility af the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearir�g or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains abare the ft�ished
grade of the(and or property. (Ref 638,1156,1191�