Meter Swap r'
i
Request Number: 14346
Public Works Ihvision
Service Request
Problem Address: 5180 Lincoln 5t Requested By: Ms John Lisowski
Depsrtment: WATER Addresa: No address provided
Problem/�ssue: INSTAI.L AMR ME'IER P6one Nnmber: 571-8331
Schedulei Datc: 2017-04-03 Scbeduled 1ime: 01:00:�
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ACIION NEEDED:
Created by: Wendy Hiatt D�e Cre�ed: 2017-03-28
AC'IION TAi�N: �
_........_�!h��.1-�. �. . ..�._..�._._ _�...._.
Statas: In Progress ���er Has Bee� r
CoM�ted
Date Coa�pl eted: Completed by:
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City of Fridley �� �2� _�
Water Department `��
6431 University Avenue NE
Fridley,MN 55432
T63-572-3566
I/we hereby authorize the City of F�idley 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 tfie main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andjits employees harmless for any damages that may oavr while dang this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and service line. In understand!am alsc required
to obtain a permit prior to any work,if necessary.
FiNAL METER READING(old meter) ��� ` — 1 ��
Name:�� �1'W� �'��JG-t Address �1 Wl..' 1��'CG�W'` (�`�'
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Phone Number ""i���� ���� Date "'1. �✓��
5ignature Witness Signature
OLD METER# _��� J ���J
OLD READING ��� � '�i'�1� U
NEW METER# 1 1 W 6JV ! J
NEW READING _�
,
ERT# ( ��� �� �✓
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to oonstructing or repair of any water of sewer line connecting the existing municipal srstem and any house or buiMir�for which the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shail pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Se�wer Department shall be not�ed. It shall be u�lawful to c:over
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has bee�made to the water senrice curb stop box or the sewer lead at the property line or a water service kad has
been extended to the property line for connection,the appllpnt,owner,or occupant or user of such premises shall 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 property owner
requests maiMenance service or repairs be perFormed by the City,the property owner shall be charged for the wsts of the matntenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appliwM,
owner,ocwpant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearirtig 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
grade of the land or property. (Ref 638,1156.1191)