Meter Swap . � Request Number: 14316
Public works Division
5ervice Request
Problem Addreas: 6548 Channel Rd Requested By: Allison
Departme�: WA1ER Address: No address provided
Problem/Issae: INSTALL AMR ME1ER Phoee Numbcr: 651-468-9571
SchedWed Date: 2017-04-08 Sched�led 11mc: 09:OQ:00
�'�`' a�,
ACIiON NEEDED:
Created by: Wendy Hiatt Date CrexMd: 2017-03-2'7
ACTION TAI�N:
Status: Iu Progress 5�1��er HAa Been r
Coatacted
Date Completed: Completed by:
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, City of Fridley
Water Department
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
UWe hereby authorize the City 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 iMerior
plumbing. (Per�ty code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while ddng this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
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INAL METER READING(oW meter �
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Phone Number �✓ !�-l�9 v � G S /� p� �'��—��
Signature W[tneu Signature \`�V
OLD METER# �U! 1 LJ y S�
OLD READING �7 I y-IO
NEW METER#� III �—
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NEW READING �-----_�--____ '
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ERT#� � � 72223285
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIOW
(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 Itne�nnecting the existing municipal system and any house or building for which the
application is made,the owner or contrador shall be required to obtain 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 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 witabte connection.
402.06 REPAIRS AND MAINTENANCE TO CONAlECT10N
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 senrtoe lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of wch premises shail be liable for all 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 owner shaN be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service 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 638,1156,1191j