Meter Swap �
Request Number: 14369
Public Works Division
Service Req�st
Problem Address: S41 Cheri Ln Requested By: Ateeda Pl�nm
Depxrtment: WA1ER Addreas: No ad�ess provided
Problem/Issne: INSTALL AMR ME'IER Phone Number:
Scheduled Date: 2017-04-04 � Sc6eduled 1lme: 01:30:00
U.�s A ( � 1'3�
ACT�ON NEEDED:
Created by: Beth Kondrick llnte Created: 2017-03-28
ACTION TAI�N:
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Stat�: In Prog�eess Submitter Has Beea r
Co�acted
Ds�te Completed: Com�eted by:
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City of Fridley ,S�� j�jZ�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we 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 iMe�ior
plumbing. (Per City code 402.06) I alw 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 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_� O�I �o
Name: �Y�� �� Address ��1 v�' '�' � ��"
Phone Number Date Y�- V�'�
Signature ` Witness Signature
OlD METER# � � rD ��� I
OLD READING J�� ` ��
NEW METER# 1��� �J�
NEW READING �
ERT# ` �� l� �v c.��
FRIDLEY CITY CODE
CHAPTER 402.WATER,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 construding or repair of any 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 shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shali 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 Clty as a
proper a�d suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONPIECTION
After the initial connection has been made to the water service airb stop box or the sewer lead at the property line or a water se�vice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall 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 prope�ty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. 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 including debris clearing or
root cutting and to mairrtain 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)