Meter Swap ` Request Number: 14388
Public Works Division
Service Req�est
Problem Address: 5281 Matterhorn Dr Requested By: Joel
Department: WATER Address: No address provided
Problem/Isaue: 1NSTAL.L AMR ME'IER Phoae Number: 763-567-0681
Sc6edale te; 2017-04-OS � Schedeled 1Ime: 08:30:00
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: ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-03-29
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ACIION TAI�N: °�
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Status: �n pra�eSs Submitter Has Been �..
Contacted Mr�,
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Date Compteted: 1�-J --5--�7 Completed by: J� £ °
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City of Fridley �b� �/` ��
Water Department ��
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UN►e hereby authorize the C'ity 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 iMerior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its emptoyees harmless for any damages that may oaur white doi�this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understarxi l am also required
to obtain a permit prior to any work,if�ecessary.
F 3 �� � '��
INAL METER READING(old meter)
Name• J 8'�� Address �o'��J 1 �.\I'� �` ���� ���.
Phone Number ���/� � (� �U 1 Date �_ �^ I�
Signature Witness Signature `
OLD METER#_ �(JI�J U, L l�C'iV
OLD READiNG_ ���"�/ " (�
NEW METER# 1 I�b � V 1 /
NEW READING �
ERT# ` 22� `� ���
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 conoecting the existing municipal system and arry house or lwilding for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notffied. It shall be unlawful to cover
any connecting line until an inspection has been made and such connectio�and the work incident thereto has been approved by 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 service curb stop box or the sewer lead at the property line or a water senrice kad has
been extended to the property line for connection,the applicarrt,owner,or occupaM or user of wch 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�ty,the property owner shatt be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perForm standard maintenance of the sewer service IFne frorrr the premises to the main including debrts clearing 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 flnished
grade of the land or properly. (Ref 638,1156,1191)