Meter Swap ,
` Request Number: 14262
Public works Division
Service Request
Problem Address: 1391 Creek Park Ln Requested By: Richard'il�mas
Department: WA1ER Address: No ad�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Nwnber: 763-572-2441
Sc6eduled Date: 2017-03-28 Sc6ednled'Rme: 11:30:00
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AC'IION NEEDED:
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Created by: Beth Kondrick Date Created: 2017-03-22
AC1�ON TAI�N:
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Status: in Progress �1�mitter Has Been r
Co�scted
DateCompleted: � ���� �`J Completedby: 1 �IG�
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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 iLs employees to do what is neassary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the prem�e and all interior
plumbing. (Per City code 402.06) i also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operatio�. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In undersWnd 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �lJ ✓ 1� �v O
Name: __1!�1��� _������ Address �� I ! ���i� ��� 1�.�
Phone Number �Yl�'���`r�y��L/ Date � � �v �� �
Signature YYitness Signature
OLD METER# `J-I� ��3�y
OLD READING 6 V/ J ! � dC�
NEW METER# � ��O� '� - i
NEW READING a
ERT# � ! S t �� O3
FRIDLEY CI�TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Plo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing w repair of any water of sewer line connecting the existing municipal system and any haise or building for which 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 provtded in
Chapter ii of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shall be unlawful to wver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINI'ENANCE TO CONNECTION
After the initiat wnnection has been made to the water service curb stop box or the sewer lead at tNe property ttne or a water se�vice lead Nas
been extended to the property line for wnnection,the applicant,owner,or ocwpaM or user of such premises shall be liable fa�all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property oMrner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsiWliiy af the applicant,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)