Meter Swap ,
- � Request Number: 14528
Pubfic Works Division
Service Request
Froblem Address: 6b5 Cheri Ln Requested By: An Q Cu
Department: WATER Address: No sd�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 651-210-4561
Scheduled Date: 2017-04-11 Sc6ednled Tlme: 01:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 201'7-04.05 �
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ACTION TAI�N:
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Status: In Progress Snbmitter H�Been �,
Coutacted
Da#e Completed: �.. � 1,� � `"'I Campleted by: ��\ , �
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City af Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe hereby authorize the City of Fridley and/or its employees to do what is neoessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali iMerior
plumbing. (Per City code 402.06j I also hold the City of Fridley and/its employees harmtess for any damages that may occur white doing 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.
FINAL METER READING(old meter) ������ v
Name: �"\�^ "'� � Address `�"`� ✓ �.�11(�'J'1 -U �'
Phone Number w� 1 ��V~- f�l.(L� Date �`� v� � U�
Signature Witness Signature
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OLD METER#� �
OLD READING ������
NEW METER# 1 I�O� -I I�
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,tfie owner or contredor 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 tine until an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connedion.
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 service lead has
been extended to the property line for connection,the applicar�t,owner,or occupant or user of sucfi premises shaH be{iable for aN 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 shail be charged for the costs of the mainte�ance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
awner,occupant or user to perform standard maintenance 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)