Meter Swap �- '
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� Request Number: 14324
Public Works Division
Service Request
Problem Address: 6685 Fridley St Requested By: Carly Harding
Departme�: WATER Addreas: No adclress provided
Problem/Ias�: INST�LL AMR METF.It Phone Number: 612-803-�141
Scheduled Date: 2017-04-03 Sc6ednled 11me: 01:30:00
n �� ��
ACTION NEEDED:
Crented by: Wendy Hiffit Date Cre�ed: 201?-03-27
ACIiON TAI�1�I: �
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5tatus: In Progress 5nbmttter Haa Been r
Co�ted
Date Completed: Completed by:
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City of 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 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
piumbing. (Per City code 402.06) I also hold the City of Fridley and/'ns employees harmless for any dam�es that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the arb stop box and servtce line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � ��� ��
Name• Address �� � �
Phone Number � D� �1�'3"`�
Signature Witness Signature
OL� METER# ��� I D ��
OLD READING ' 1 � dJ I 1 �D
NEW METER# �� LV bO r�
NEW READING O
ERT# � 22� J� l b
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 consiructing or repair of any water of sewer line cor�r�ecting the existing municipal system and arry house 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 provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shail be notified. it shall be unlawful to�ver
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 wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property lir�or a water service kad haz
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shali be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. 1�the property owner
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 administrativ�e policy. It shall be the responslbility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding 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)