Meter Swap : Request Number: 14477
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Public Works Division
Service Request
Problem Address: 6803 Channel Rd Requested By: Tom
Department: WA1ER Address: No address provided
Problemi�ssue: TURN WA'IER ON/OFF Phone Number: 763-424-6778 ar 502-9353
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Schedule Date: 2017-04-OS Schcdaied 1lme: 08:00:00
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ACTION NEEDED:Tarn off water so homeowner can repair valtie.Install AMIt.
Created by: Wendy IIiatt Date Cre�ted: 2017-04-03
AC110N TAI�N:
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Status: 1n Progress �bmitter Has Been r
Couts�cted
D:te Compieted: Completed by:
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� City of Fridley ��� ".���0
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/we hereby authorize the Crty 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 all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operetion. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am alw required ;
to obtain a permit prior to any work,if necessary.
FINAL M R READI (old m ter) � v O`� � ��
� �°�- C�,� � �
Name: '� Address �
Phone Number Date � J' l�
Signature Witness Signature '
OLD METER# ���O ��t � t
OLD READING ��d J ��
NEW METER# 't 1� (� ��
NEW READING �
ERT# � � U� ���0
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAN{TARY SEWER
ADMIN{STRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,114A�,1156,1191)
402.5 PERMIT FEE
Prior to tonstructing or repair of any water of sewer line connecting the existing municipal system and ar�y house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such wnnecCion,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 not�ed. It shall be unlawFul to cover
any wnnecting line untit an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
4Q2.06 REPAIRS AWD MAINTENANCE TO CONNECTION
After the initial connection has been 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 connection,the applicant,owner,or oaupant or user of such premises shall be 1lable for all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the C1ty,the property owner shall be charged for the costs of the maiMenance and/or
repairs,induding necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicant,
owner,ocwpant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the tinished
grade of the land or property. (Ref 638,1156,1191)