Meter Swap � Request Number: 14409
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Public Works Division
Service Request
Problem Address: 1455 Creek Pazk Ln Requested By: Patty
Department: WA7ER Address: No ad�lress provided
Problem/Issue: IN5TALL AMR METER Phone Number: 571-7426
Sc6e te: 2017-04-07 `� Schednled Tlme: 11:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Dxte Created: 2017-03-30 '
ACIION TAKEN:
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Status: tn Progress 5ubmitter Has Been r
Coutncte@
Date Compteted: Completed by:
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� y City of Fridley ��� ���
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
i`eplace 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 City code 402.06) 1 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 valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also requlred
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter)
Name•_ y a"' " % Address � � ✓ � I� v�'c�
Phone Number �� � �' � I��!l Date �� ` � f 1
Signature Witness Signature
OLD METER# ��! U `� v V
OLD READING � C '� vG
NEW METER# ���O ` I�v✓
NEW READING �
ERT# ��0'�� �I�p�-
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)
4fl2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,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 sfiafl be unfawfu{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 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 applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer{ines necessary for connection ofi 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 and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding deb�is dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)