Meter Swap ,, - �'� Request Num�r: 14247
.
Public Works Division
Seivice Request
Problem Addresa: 5191 Lincoin 5t Requested By: Ali
Departmeat: WA1ER Addreas: No addross provided
Problemilsaue: 1NSTALL AMR ME'IER Phone Number: 612-227-0345
Sche�nled I�te: 2017-04-OS Sciiedeled 1ime: 10:00:00
AC'IiON NEFDED:
Created by: Wa�y Hiatt Date Cre��: 201?-03-22
ACIIOPI TAI�N:
Statas: In Progress Snbmirier Aas Beee �.
Coutncted
Date Gompleted: Completed by:
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� � Cifiy of Fridley J�� �Lf ��
Water Department
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley andJor its empbyees to do what is necessary to
replace the water meter. I understand that the property owner is Itable for the water line from the r►�ain to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur wfiile doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. in understa�tt!1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIMG(old meCer) "`� � ��O
Name• �.( Address ✓ `-`� ���/1�-- �`l
Phone Number w' L` ���� � rl"[� D� �'�~1/
Slg�atu�e Witness Signature
OLD METER# ��16�v� �O
OLD READING ��j � �0
NEW M�ER#� N IlIIIN�IIIINIII I -
�lHIIINiII
NEW READING; �'9208198
E�#� Illll llfllllll llll llll E
� � 72223'166
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 construding or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
applicatton is made,the owner or coritractor 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,tfie Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and wch 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 connection has been made to the water service wrb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the appliwrrt,owne�,or occupant or usEr of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the pro�rty owner shall be charged for the costs af the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the app{icarit,
owner,occupant or user to pe�form standard maintenance of the sewer service line f�om the premisEs to the main including debris cfea�ing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)