Meter Swap f � Request Number: 14571
Public works Division
Service Request
Problem Address: 5922 Haclanann A�e Requested By: G�+nt}ria Ness
Departmeut: WA1ER Address: No address pcovided
Problem/Iasue: INSTALL AMR ME'IER Phoae Nnmber: 612-356-6860
Sehednled Date: 2017-04-17 Schednled Time: 02:00:00
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ACIION NEEDED:
Cresited by: Beth Konchick Date Created: 2017-04-06
ACTION TAI�N:
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Status: �prog�gs 5nbmitter Has Been �
Co�acted
DAte Completed: Campleted by:
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� City of Fridley !
Water Department � � �lp� �
6431 University Avenue NE
Fridley,MN 55432
163-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from tt�e main to the premise and all interior
plumb+ng. (Per City code 402.06) 1 also hold the City of Fridley andjits employtees harmless for arry damages that may ocair while doing this
operetion. This to include,but not fimited to valves,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.
FiNAI METER READING(old meter} _���` � �o
Name: 1.1�A�\ ��i 4 V�-1� Address � `� �I���E�✓��l��, �
/� /� . .
Phone Number'c-J 1 l/� �r��J Date �� L� ' � 1
Signature Witness Signature
OLD METER# �� � � � ��`�'
OLD READING �Z�� � �O
NEW METER# ��` W � � _ `�
NEW READfNG \_J
ERT# � zZZ 2� � s
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 constructing or repair of arry water of sewer line wnnecting the existing municipal system and arry house or buildi�ior 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 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to�ver
any connecting line until an inspection has been made and such connection and the worlc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAtNTENANCE TO CONNECTION
After the initial connection has been made to the water senrice 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 applipnt,owner,or occupant or user of wch premises shall be Itable for a!I repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the propesty owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenancQ and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the mai�including debris clearing or
root cutting and to maintain the water service curb stop box for operebility and at such height as will ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)