Meter Swap ' Request Number: 14280
Public works Division
Service Request
Problem Address: 5258 Fillmore St Requested By: S�ila
Department: WATER Address: No address provided
Problem/Issne: INSTALL AMR ME'IER Phone Number: 763-607-3477
Scheduled Date: 2017-03-30 Sc6ednled 11me: 08:30:0(1
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ACTION NEEDED: "�`
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Created by: Wendy Hiatt Date Created: 2017-03-23
ACIION TAKEN:
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Status: In Progress S�bmitter Hns Been r,
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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 Fts employees to do what�s 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 interior
plumbing. (Per City code 402.06) I also hold the City of Fridley andrts employees harmless for any damages that may ocwr whtle ddng thls
operation. This to include,but not limited to vaives,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: �v�'e 6 I,�'�- Address_ �/��U 1" 1�f (N�0 Y�° ��•
Phone Number 7�� �0� `� v t� / DaLe �� �� " L
Signature Witness Signature �^
OLD METER# � / IGJ D����7
OLD READING ���' `� ` �v
NEW METER# 6��� �v l�J
NEW READING �
ERT# ` ` � � ��� U
FRlDLEY 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 constructing or repair of any water of sewer Ifne connecting the existing municipat system and arry house or butlding for whkh the
application is made,the owner or contractor shal!be requFred to obta�n a permit for such connedion,and shall pay a permti fee as provided Fn :, ,,
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfulto c:over "
any connecting line until an inspedion has been made and such tonnection 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 wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water servke lead haz
been extended to the property li�e for connection,the applicar�t,owner,or occupant or user of such premises shall be liable f�all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property aivner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the cos�of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris ckaring or
root cutting and to mairrtain the water service curb stop box fo�operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)