Meter Swap .. � � �/'c�._.11�' ' !
• Request Number: 14150
Public works Division
Service Req�st
Problem Address: 6517 Lucia Ln Requested By: Elvina
Departmeut: WATER �.�s: 651?LuciaLn
Fridley,MN 55432
Problem/Isaue: INSTALL AMR ME'IER Phone Number; 763-571-0124
Schediiled Dnte: 2017-0 -24 � Sc4edaled 11�: 10:30:00
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ACTION NEEDED:
CYexted by: Beth Kondrick Date Cre�ei: 2017-03-16
ACTION TAI�N:
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Stmns: In Progress 5nMnitter HAs Bcen �..
Contuted
Date Completed: Completcd by:
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` City of Fridfey
�`' Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�/M+e heseby authorize the City of Fridley and/or its employees to do what is necessary to
replace the 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 occur whife doing this
operation. This to include,but not limited to valves,piping,walis,fioors or the curb stop box and service line. In understasx!I am also required
to obtain a permit prior to any work,if necessary.
2�� -- ��l � ro �- oi
FINAL METER REAQiMG(old meter)
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Name: Address IC7��� �V`�'�' �`"
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Phone Number Date J�
Signature ` Witness Signature
OLD METER# �� O C.7 t v �
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OLD READING
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NEW METER# "�7 ��� �� ��
NEW READING �
ERT# � � L�Q IDV�O ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or�epair of any water of sewer line connecting the exlsting municfpal system and any house or building for which tfie
appiication is made,the owner or contractor 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 been made,the Water and Sewer Department shalf be notified. It shatt be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incide�t thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initlal connedion has been made to the water service curb stop box or tfie sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shaN be liable for afl repairs
required to any water line and sewer lines necessary for connection of the prem(ses from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the C'�#y,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set an�ually by an administrative policy. It shall be the responsibility of the applicant.
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing 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)