Meter Swap � Request Number: 14426
Public works Division
Service Request
Problem Address: 5361 Madison St Requested By: Meghabhuti Roth
Department: WATER Address: No address provided
Problerollas�: INSTAL,LAMRMEIER PhoaeNwnber: 612-1fl1-0023
Scheduled Date: 2017-04-11 Scheduled Tlme: 02:00:00
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ACIION NEEDED:
GSreated tiy: Wendy Hiatt Date Created: 2017-03-30 F �`�"Y'
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ACIION TAI�N: �'?
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Stntus: In Progress Submitter Aas Been `.,
CoMacted
Dsite Completed: ��� (^.. Completed by: ����
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' City of Fridley ��� ����
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�1We hereby authorize the City of Fridley and/or tts employees 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 irnerior
plumbing. (Per Cty code 402.06) I also hold the City of Fridley and/its employees harmless 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 tine. in undentand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING old meter ���� ��
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Name: �`�I����I ��Address ��� ��I'� � ���
Phone Number �-G��.`' ��1` �� Date � � � �L�
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Signature Witness Signature
OLD METER# �i�vW � ( /J
04D READING ��� ��/v
NEW METER# I 1 o�V l � ��
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NEW READING � Lzs���
ERT# ��'� � � � �
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 repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contrador shail be required to obtain a permit for such connection,and shaf{pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and S+ewer Department shail be not�ed. It shail be unlawful to cover
any connecting 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 wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial wnnection has been made to the water service curb stop box or the sewer lead at the property lioe or a water sewice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable fcr ali 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 shali be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually 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 dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will e�sure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�