Meter Swap �
M
` Request Number: 12815
Public works Division
Service Request
Problem Addtea:: 1051 Lyn�Dr Requested By: Dolores McCarty
DeputmeM: WATER Addre:a: 1Vo address provided
Problem/Is�ue: INSTALI.AMR METER P6one Nnmber: 763-�74-1490
Sche e Date: 20 7-01-18 � Sc deled 11�e: 11:00:00
�
AC7ION NEEDED: .
Cre�ed by: Wendy Hi�t Date Crert�ic 2017-01-10
ACIION TAI�:N:
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5tatus: In Progcess Sabmitter H�Been �,
Co�weted
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Dste Cua�►teted: Complete�by:
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City of Fridley �
' Water Department
f� 6431 University Avenue NE � �y�C��-j����
Fridley,MN 55432 �7
763-572-3566 S (� �3 (� I
�/We hereby 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) I also hold the City of Pridley and/its employees harmiess for any damages that may occur while doing this
operation. This 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.
FIPIAL METER READING(o{d meter) v �� � � ��
y � t'r � �
Name:� V���'"�-�� ��� Address � �
Phone Number���� ,/��✓1��� Date �� k-�� F�
Signature ----'�`"""..'" ` Witness Signature �Z"—""_._...
OLD METER#_ I���� Z� b
OLD READiNG_ D ��S - t��
NEW METER# �� ���� 1�
NEW READING �
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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 DERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for whtch the
application is made,the owner or contractor shail 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 Departmerrt shall be notified. It shall be unlawful to caver
any wnnecting line until an inspection has been made and such connection aad the work incident thereto has been approved by the City as a
proper and suitable connection.
402.� REPAIRS AND MAINTENANCE TO CONNECTIOPI
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 connection,the applicant,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 premises. 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 maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. 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 clearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remains above tfie ffnished
grade of the land or property. (Ref 638,1156,1191�