Meter Swap �
Request Number: 14452
Public Works Divisian
Service Request
Problem Address: 6734 Channel Rd Requested By: Kelly
Department: WATER Address: 6734 Channel Rd
Fridley,MN 55432
Problem/Issue: IN3TAL.L AMK METER Phone Nwnber: 605-553-2004
Scheduled Date: 2017-04-06 5chednled 15me: 07:30:00
�'1 �3 � . ,
ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-31
ACTION TAKEN:
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St�tus: In Progress Submitter Has Been G
Contacted
Date Compi eted: �_('„_�� Completed by: ��(„ ,,,
u� s�
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City of Fridley � � ��u D
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its emptoyees 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 all irnerior
plumbing. (Per City code 402.06) 1 aiso hofd the C1ty of Fridley and/its employees harmless for ariy damages that may oaur whife doing this
operation. This to include,but not limited to valves,qiping,walls,floors or the curb stop box and senrice line. In understand 1 am aiso required
to o4stain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) � ✓�✓ �
Name: 1�� 1� T Address `�' l ✓ �� l
Phone Number ��� ~ 5`53�'�o� Date � � � � L
Signature Witness Signature
OLD METER#_ � f ���d J �/
OLD READING 37�� a �
NEW METER# " l -i�� t I 0"-'�
NEW READING �
ERT# i �oto��o(. J�
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,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 arry water of sewer line connecting the existing municipal system and any house or building for whid�the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail 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 shap be unlawful 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 connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail be qable for alt repairs
required to any water line and sewer lines necessary for wrtnection of the premises from tfie main to the p�emises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the cosis of the maiMenance andjor
repairs,including necessary street�epairs at a rate set annually by an administrative pofiry. it shall be the responsibility of the applicaM,
owner,occuparit or user to perForm standard maintenance of the sewer service tine from the premises to the main including debris dearing or
root cutting and to maintain the water seroice curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)