Meter Swap �
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Request Number: 14246
Public Works Division
Serntce Request
Problem Addresa: 6532 Pierce St Requested By: Rebecca Rushing
Department: WA'IER Addrea:: No acklress provided
Problem/Iasne: INS'TAL.L AMR METER Plane Number: 1-713-$39-5404
Scbeduled Uate: 201�-04-03 Scbe�ded Ttme: OZ:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Dnte Cre�ed: 2017-03-22
ACIiON TAI�N:
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Statns: �p�,o�ss 5abmitter Hu Been r.
Co�acted
Date Completed: Completedlry:
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City of Fridiey �a� 3 3�s
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��we hereby authorize the City of Fridiey and/or i�employees to do what ts necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise a�ci all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floo�s or the curb stop box and service line. in understand I am also required
to obtain a permit pNor to any work,if necessary.
FINAL METER READING(old meter) _ 1 � � � � '�/
Name� K�W"`�.r��, Address_��:1� �t'(,����
Phone Number Y�� � !/ �r Date ���� \�
Signature Witness Signature ��
OLD METER# 4 ��O � "k O�—
OLD READING � t �� � I U
NEW METER# `''{-{��� I I
NEW READlNG O
ERT#_ � ��� cJ`�� V
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER AND SANITARY SEWER
ADMINISTRATfON
(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 ryater of sewer line connecting the existing municipal system aed any house or buiiding for which the
application is made,the owner or contractor shall be�equired to obtain a permit for wch 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 Department shall be notified. It shall be unlawful to cvver
any connecti�line u�rtil an inspection has been made and wch connection and the work i�cident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO COWNECTION
After the initiel connection has been made to the water service curb stop box or the sewer lead at the property line or a water senke kad has
been extended to the property line for connedion,the applicant,owner,or occupant or user af 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 City,the property owner shall be charged for the costs of the maintenance andjar
repairs,including necessary street repairs at a rate set annually by an adminisuative poliry. It shall be the responsibility ofi the appiicaM,
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 hetght as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)