Meter Swap st
� Request Number: 14385
rubli�works niv;sion
Service Request
Problem Address: 1331 Hillcrest Dr Requested By: Yosef
Department: WA1ER Address: No address provided
Problem/Iasue: INSTALL AMR ME1ER P6one Number: 612-310-7504
Sc�ed�ilad Date: 2017-04-03 Schedded 1lme: 07:30:00
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AClION NEEDED:
Created by: Beth Kondrick Date Created: 2017-03-29
ACTION TAI�N: � �
___.�.��.�.�' ���.� _____-._
Status: In Progress Salrmitter H�Been r.,
Contacted
Dnte Conpleted: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we 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
plumbing. (Per City code 402.06) 1 atso hold the City of Fridtey and/its empfoyees fiarmless for arry damages that may occur while doing this
operation. Tbis to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in unde�staed t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_�� ✓�O� D
Neme: ���� Address ,� U� �t'���t�� ��
Phone Number� `���,�" ` Date u ^ r � ' �,�
Signature Witness Signature
OLD METER# ��� � bZ� �
OLD READING �/ ' � �J �� V
NEW METER# "L� �J �����
NEW READING O
ERT# �, I�� 1 ��_V�
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 any water of sewer line connecting the existing municipal system and a�ry house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permlt fee as provided ie
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line unti{an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
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 has
been extended to the property line for connectio�,the applicant,owner,or occupant or user of sucfi premises shall be{iabie for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If 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,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maiMenance of the s�wer service{ine from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grede of the land or property. �Ref 638,1156,1191)