Meter Swap • Request Number: 14302
Public Works Division
Service Request
Problem ARWress: 6501 Pierce St Requested By: Mazjorie
Department: WATER Address: No address provided
Problem/Isswe: INSTALL AMR ME1ER Phone Number: 571-0118
Schednied Date: 2017-03-30 Schedaled 1lme: 11:3U:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-03-24
ACIION TAI�N:
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Stx�: In Progress ���er Hss Been r
CoMscted
Date Completed: Completed by:
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Z( �- `-F�� �`(�c� '"�` I
� ' City of Fridley �j�� � � � ��
� Water Department
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
��We hereby authorize the City aF F�idtey and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water tine from the main to the premi�and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley andjits employees harmless for any damages that may ocwr while doing this
operetion. This to include,but not limited to valves,piping,walls,floors or the arb stop box and servke line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READlNG(old meter) �� �� �� �
Name• M ���'� Address `v�� , ' i+'�'�� V�
Phone Number_�� 4�\ ) 1� o Date ����✓ ��
Signature Witness Signature
OLD METER# �� � 1 � J � �
OLD READING Z��� ���
NEW METER# F�D� �� � �
NEW READING �
ERT# 1 ��� � � � �O
FRIDIEY CITY CODE
CHAPTER 442.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 sonnecting the existing munitipal system and arry house or building for whkh the
application is made,the owaer 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 con+iection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any con�ecting line until an inspection has been made and such connection and the work incident thereto has been approved by the CRy as a
proper and suitable connection.
402.06 REPAIRS AND MAiNTE11iANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property If�or a water service kad has
been extended to the property line for connection,the applkant,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. 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 maintenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applica�rt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to mairrtain 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 638,1156,3191)