Meter Swap Request Number: 14372
Public works Division
Service Request
Problem Address: 534 Cheri Circle' Requested By: Dwight Newport
Department: WA'lER Addresa: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-571-1139
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Schedaled Date: 2017-03-29 Scheduled Ttme: 09:00:00
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ACIION NEEDED:
Created hy: B�th Ko�rick Date Grested: 2017-03-28
ACTION TAKEN: �
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Status: In Pro�ess Sabmitter Has Been r
Contacted
Date Completed: �,�� r� Completed by: ���4�
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City of Fridley ���
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 ia 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
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. in understand I am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_._ L_V(1 i � V D
Name: t" 1���+U U � pddress � J �� l�I� � V1��
Phone Num6er t!! U� �� �� ��� Date �� �� r v 6
Signature Witness Signature '��
OLD METER# t�� � �b ` �
OLD READING i v� � �V�
NEW METER# l 10�� � ��
NEW READING U
ERT# � t 1� L ���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATlON
(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 connecting the existing municipal system and any house or building fo�which the
appliwtion is made,tfie awner or contractor 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 not�ed. It shall be unlawful to cover
any wnnecting 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 suitabie connection.
402.06 REPAIRS AND 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 seroke kad has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer iines 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 shall be charged for the costs of the maintenance a�d/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility aF the applicant,
owner,occupant or user to perform standard maintenance of the sewer servtce line from the premises to the main including 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)