Meter Swap 4
y Request Number: 16086
Public Works Division
Service Request
ProW em Address: 1020 Hathaway Ln Requested By: Saeed
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMIi METER Phone Number: 612-481-8696
Scheduled Date�7-06-22 �heduled 1ime: 08:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201�-06-21
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Status: In Progress Submitter H�Been �.,
Co�acted
Date Completed: Completed by: ,
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City of Fridley 2��_ � / ��dV� V�p
water Departr�+ent
y 6433 University Avenue NE � � ��y�j
Fridiey,MN 55432
7fi3-572-3566
1/we here6y authortze the Gty of Fridtey and/or iis employees to do what is necessary to
rep{ace the water meter. 1 understand tfiat the property awner is liable for the water line from the main tc the premise and al{irrterior
pfumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to inctude,but not limitecf to valves.piQing,aralls,floors or the turb stop box and senrice line. In understand i am also required
to abtain a permit prior to any worh,if necessary.
FINAL METER READING(oid meterJ ��v ���
Piame•—J��� Address
PhonelYumber �.! i�'` ��1" 4J�O�ate � � �y � 1
�Si nature__ �a� �S��`'� � Witness Signature
OLD MfTER# � ����Y�� 1
OLD READING ���$��
NfW MfTER# `�� 1iZ10?i�p3
NEW READING �
ERT# � (iZZ"lr1/�/- 1
FRIDLEY CITY CODE
CHAP7ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiNISTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing o�repair of any water of sewer(ine connecting the existing municipal system and any house or buitding fo�which the
application is made,fihe owner ar contractor shali be required to obtain a permit for such connectian,and shafl pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the►Nater and Sewer Departmerrt shaft be notified It shal!be unlawful to cover
any connecting line until an inspection has been made and sucl�connect+on and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MANVTEWANCE TO COPtNECI'ION
After the initial tonnectiort has been rnade to the water service curts stap box or the sewer lead at the properCy line or a wafier service iead has
been extended to the property line for connection,tfie applica►rt,owner,or occupar+t or user of such premises shail be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the praperty owner
requests maintenance service or repairs be performed by the City,the psoperly owner shalf be charged for the costs of the mair�tenance andjo�
repairs.including necessary street repairs at a rate set annually by an administrative poiicy. i�shal[be the responsi6ility af the appfitarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to fihe main including debris dearing or
root cutting and to rrrairrtain Che water senrice 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)