Meter Swap Request Number: 14514
Public Works Division
Service Request
Problem Address: 6640 Lucia Ln Requested By: Daniel C}�ristensen
Department: WA'IER Addreas: No ad�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-571-1793
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'''�cheduled Dste: 2017-04-12 Schedaled Tlme: Ol:30:00
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ACIION NEEDED:
Created by: Beth Kondrick I�nte Created: 2017-04-04
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ACTION TAI�N:
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Status: In Progress Submitter Hn�Been r,
Contacted
Date Completed: �� I�_'� Completed by: �
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City of Fridley � � � � i �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We �'. hereby authorize the City of fridiey and/or its employees to do what is necessary to
rep{ace the wattlr meter. I understand that the property owner is liable for the water line from the main to the premise and all inte�ior
plumbing. (Per City code 402.06) 1 aiso hoid the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This tb inciude,but not limited to valves,piping,walls,floors or the curb stop box and serv�ce line. In understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj �����O
Name: �G,Y11C. 1 �����%�.��qddress �L'�- I� V��I� l�` �
Phone Number v��^ ✓��� �� 1 � Date � � (�l "�
Si nature ��
B Witness Signature
OLD METER# ����� � / �
OLD READING b q 3�g`ZD
NEW METER# � 1�/`� 6 1 W v
NEW READING v �
ERT# ���O'� � �/`�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADM{NISTRAl'I�N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Qrior to constructing or repair of any water of sewer line connecting the existing municipal system and am►house or building for whid�the
application is made,the owner or�ntractor shall be required to obtain a permit for such co�nection,and shall pay a permit fee as provtded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�fied. It shall be unlawful to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable co�nection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connedion,the appiicam,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 p�emises. 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 malntenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibil'rry 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 such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,3156,1191)