Meter Swap � . Request Number: 14299
Public Works Division
Serviee Request
Problem Address: 5164 Matterhom Dr Requested By: Marit
Depsu�tment: WATER Address: No ad�ess ptovided
Problem/I�sue: INSTALL AMR ME1FR Phoae Number: 612-889-3341
Sc6eduled Date: 2 17-04-47 Scheduled'tlme: 02:00:00
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AC110N NEEDED:
Created by: Wendy Hi�tt Date Creited: 2017-03-24
ACIION TAI�N:
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� ~ City of Fridley
.
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its empbyees to do what is necessary to
replace the water meter. 1 understand that the property aMrner is liable for the water line from the main to the premise and all interior
plumbing. (Per C'�ty code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while dang this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prfor to any work,if necessary.
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FINAL METER READING(old meter)
` ��I C�� ��N�er-Pn,�t�v� �r
Name:_1_���^^ uv Address
Phone Number ���-V �/v 1, '� 3��� Date � ` 6' � r�
Signature Witness Signature
OLD METER# _ �� � / �`�' �
OLD READING ��� ./ ���
NEW METER� �9��
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NEW READING O
ERT# ��'� �1 � l���� q
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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 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal s�ystem and any house or IwiWing for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee�provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and witable connection.
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 line or a water serrice kad hu
been extended to the property line for connedion,the applicant,owner,or occvpant or user of such premises shall be liable for all rcpairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenar�ce and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibilPty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service Ifie from the premises to the main including debris cleartng or
root wtting and to maintain the water service a�rb stop box for operabitity and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)