Meter Swap ..,
f Request Number: 14467
PubHc Works Division
Service Request
Problem Addreas: 6631 Lucia l.n Reqnested�y: Bernal
Department: WATER Address: 6631 Lueia Ln
Fridley,MN 55432
Problemilssue: iNSTALL AMR ME1ER Phone Number: 612-554-9669
ScLeduled Date: 2017-04-08 ScLieduled 1lme: 11:00:00
� � ri � �
ACTION NEEDLD:
Created by: Beth Kondrick Date Crested: 2017-04-03
ACIION TAKEN:
Status: In Progess Submitter Ans Been r
Cont�ted
Date Completed: Compieted by:
_�_l�
.� ��� , � � i ���� —���
� ��� ����6
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-512-3566
IJwe hereby authorize the City of Fridley and/or tts employees to do what is necessary to
replace tfie water meter. 1 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 also hold the City of Fridley and/its employees harmless for any damages that may ocar while dang this
ope�ation. 'fhis to include,but not limited to valves,piping,walls,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 READING(old meter)-- - I i � �l�/L�V
Name:� �-� Address l Ol��� t.11-(�{-� (/�
Phone Number�,Q��'�� ` ` 1��P-t pate �'�[J `` �
Signature Witness Signature �
�: : ��� � ���
OLD�iUfETER#
OLD READING 1 ��D�Z-�
NEW METER#_,,;� III I -- -
I IIIIIII
I�IIIII
�IIIIIII
IIIII
49208199 � !
NEW READING ` '
_-
— _ ._
E�# Illll llllilllllllllla E
---i � � 72223033
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,652,922,988,1144,1156,1191)
4U2.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or lwilding for which the
application is made,the owner or contracCor shall be required to obtain a permit for such connection,and shall pay a permit fee as proWded in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the worlc incident thereto has been approved{yy 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 senrice curb stop box or the sewer lead at the property line or a water service iead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shatt be liable for ali repairs
required to any water line and sewer lines necessary tor connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the tosts of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative po{iry. It shali be the responsibil'�ty of the appitcant,
owner,occupant or user to perform standard maintenance oE the sewer service iine from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabil'�ty and at such height as will enwre that it remains above the finished
grade of the land or property. (Ref 638,1155,1191)