Meter Swap , � Request Number: 14338
Public Works Division
Service Request
Problem Address: 1346 Hillcrest Dr Requested By: Patrick
Departmeut: WA1ER Address: No ac�ress pmvided
ProWemJjssue: INSTALL AMR ME1FR Phone Nambcr: 651-214-0721
Scheduled Date: 201?-OS-22 Schednled 11me: 10:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Cre�td: 201'7-03-27
ACTION T N•
�� i� �� . _.
Status; In Progress Snbmitter Has Been r
ContActed
Date Completed: Completed by:
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� � City of Fridley �` ( I ��� t ��IO�
Water Department �b � ,(
6431 University Avenue NE ��?/��
Fridley,MN 55432
763-572-3566
�1We hereby authorize the City of Fridley and/or its employees to do what ts necessary to
replace the water meter. 1 understand that the property owner is iiable tor the water line from the main to the premise and ail iMerior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmiess for arry damages that may ocwr whtle doing this
operation. This to inctude,but not limited to vaives,piping,walls.floors or the curb stop box and servke line. In unders�tand 1 am also required
to obtain a permit prior to any work,if necessary.
FiNAI METER READING(old meoter) f ��� ��v
Name:__� i� Address � �`� ' 1 �
Phone Number Y/t� 6`—����O�ate ���✓ �
Signature \ Witness Sigoature _
OLD METER# sy'� �.JL�"�,g
OLD READING L����cJ V
NEW METER# 1��2��� !
NEW READING_�
ERT# � � �J �2--� 1
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)
4U2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecttng the existing municipal system and any house or buiiding for whtch the
application is made,the owner or contractor shall be required to obtain a permit for such connectio�,and shall pay a permit f�as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Cit�t as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTfON
After the initial connectfon has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for connection,the applicant,owner,or ocwpant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the prem�.ses from the main to the premises. If the properiy owner
requests maintenance service or repairs be perforened by the City,the property owner shall be charged fo�the costs of the maintena»ce and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shati be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)