Meter Swap . - Request Number: 14309
Public works Division
Service Request
Problem Address: 6725 Channel Rd Requested By: Mike(owner's son)
Department: WATER Addresa: No address provided
ProW emllasue: INSTALL AMit METER Phone Namber: 763-300-6389
Scheduled Date: 2017-04-03 Scheduled'ijme: 08:00:00
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A�'IION NEEDED:
Crested b}r: Beth ICaudrick Date Created: 2017-03-24
ACIIO 7AI�N:
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Statu:: In Progress 5ebmitter Haa Been r
Contacted
Date Completed: Completed by:
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� � City of Fridley ��'*'� �� l�
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 necessary to
replace the water meter. 1 understand that the property owner is IiaWe for the water line from the main to the premise and all iMe�ior
p{umbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for a�y damages that may oca�r whi�e doing this
operation. This to include,but not fimited to valves,piping,walls,floors or the curb stop box and senrice line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � O�� � �D
Name: �` `'C� Address � 4 C. ✓ �'�''`-�'� IC.d�
Phone Number L� ;?�JW�Cp-J!J"( p�e _ ���" ��
Signature _ L��� Witness Signature
OLD METER#_��I �C.7 I� �
OLD READING �� `1'`I ���
NEW METER# "'t� �� l���jf0
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)
402.5 PERMIT FEE
Prior Lo constructing or repair of any water of sewer line connecting the existing municipal system and any house or building fcr which the
application is made,the owner or contractor shall be required to obtafn 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 Department shall be notified. It shall be unlawfuf to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedio�.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has beea made to the water service curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connectfon,the applicant,owner,or occupant or user of such premises shall be Itable for atl repairs
required to any water iine and sewer lines necessary for connection o�f 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 shall be charged for the cos�of the maintena�ce and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibilfry of the applicant,
owner,occupant or user to perform standard rnairrtenance of the sewer sen►ice line from the premises to the main induding 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)