Meter Swap ,.
, � Request Number: 14334
Public works Division
Service Request
Problem Address: 6546 L�ia Ln Requested By: Jolm Vardis
Departmeut: WATER Address: No a�ress provided
Problem/Issue: INSTAL.L AMR METER Phone Number: 612-327-4171
Scheduled Date: 2017-04-04 5chedNed Tlme: OS:00:00
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ACTION NEEDED:
CYested by: Wenciy Hiatt Date Creatted: 20 t 7-03-27
AC1I N T .
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Status: In Progress Submitter Has Beea r
Contacted
Date Completed: Completed by:
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' , City of Fridley �n �. 3� � C.�
Water Department �� �
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the C"�ty af Fridiey and/or its empioyees to do what is�ecessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise aod aN interror
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/'ns employees harmless for any damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary. _
FINAL METER READiN6(old meter) 1 � ! � ��
Name:_�1��V(�A�fX`�J Address�O�"1 � (�G� � .
Phone Number � 1' I/�.i ���—1 � { � Date �� ��� 1
Signature Witness Signature
OLD METER# V 1�J ` ����
OLD READiNG ,- l�� I —l�`�
NEW METER# - L r � �O � g
NEW READING �
��r# �1 2Z� `�1 � g�l
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,5b6,629,638,662,922,988,1144,1156,1191)
402.5 PERMR FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for wfiich the
application is made,the owner or contractor shall be required to obtain a permit for such co�nection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be not�ed. It shali be unlawful to cover
any connecting line u�til ao i�spection has been made and such connection and the work incident thereto has been approv�d by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
Afte�the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water senrice kad has
been extended to the property line for connectioe,the applicant,owner,or occupaM or user of such premises shall be liabte 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 propeetY oarnes
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the maiMenance and/or
repairs,including necessary street repairs at a rate set annualfy by an administrative poliry. It shall be the responslbility o#the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutttng and to maintain the water service curb stop box for operability and at such height as will e�sure that it remaias abwre the finished
grade of the land or property. (Ref 638,1156,1191)