Meter Swap e ',
Request Number: 14707
Public Works Division
Service Request
Problem Address: 6610 Lucia Ln Requested By: Paul Nealy
Department: WATER Address: No address provided
ProblemlIssue: INSTALL�MR ME1ER Phone Number: 612-812-6647
Scheduied Date: 2017-04-19 Scheduled 13me: 07:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-14
A ON T N:
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Status: In Progress Submitter Has Been �..
Contacted
Date Completed: Completed by:
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City of Fridley � �� �/ � �
Water Departrnent ��
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�/Wa hereby authorize tfie City of Fridtey andjor its empioyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerio�
plumbing. (Per City code 4a2.06) t also hold the�ty of Frid{ey andjits employees harmtess for any damages that may ocar while doing this
operation. This to inciude,but not limited to valves,piping,walis,floors or the airb stop box and service line. In understand 1 am also required
to obtaie a permit prior to any work,�f necessary.
FINAL METER READiN6(old meter)_��� � �� �o�
Name: ��`�1 'vt--a.� Address ��� v �-U c;� a ��l
Phone Number C9'�� 7.�l L r � date ��� "`� `�
Signature Witness Signature
OLD METER# i Q�� ��� �
OLD READING ���� �7��
NEW METER# 3� �O ��� �
NEW READING �
ERT# � ��� �O � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing mu�icipal system and am�house or building for wfiid�the
application is made,the owner or contrador 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 beer+made,the Water and Sewer Departmerrt shall be notiFied. It shall be uniawfuf to cover
any connecting line urrtil an inspedion has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitabte connection.
4�2.06 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 serv�e lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shail be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing 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)