Meter Swap . Request Number: 14555
Public Works Division
Service Request
Problem Address: 5258 Matterhorn Dr Requested By: Jamce
Departmcnt: WATER Address: No acidress provided
Problem/Issue: IlVSTALL AMR METER Phoae Nnmber: 572-1713
Schednled Date: 2017-OS-15 � Scheduled 1lme: 09:00:00
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-06
ACTTON TAI�N: � ��1�
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5tatus: In Progress Snbmitter Has Been C,
Contacted
Date Completed: Com�eted by:
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City of Fridley ����4
Water Department c ����
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6431 University Avenue NE y ( J
Fridley, MN 55432 v /�'� -}�
763-572-3566 �V '"�` ����
�/We hereby authorize the City of Fridley and/or its 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 premtse and a1{interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walis,fioors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any wcrk,if necessary.
FINAL METER READING(old meter) 1 �����./
Name: J��`� Address �Z� 1-`"�'i'CC�"�►`�.�r n ��'
Phone Number ���� �� �� Date y_, � • l� � V�
Signature �tness Signature _...—
OLD METER# `��U � +� .J�
OLD READING � V ����
NEW METER# ������Z
NEW READING Q �
ERT# � � U ( "I ���
FRIDLEY CITY CODE
CHAPTER 402.WATER,SiORM WATER AND SANITARY SEWER
ADMINISTRA'i'iON
(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 shall be required to obtain a permit for such connectlon,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made.the Water and Sewer Department shall be notified. It shaft be unlawful to co�r
any connecting line until an inspection has been made a�d such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENAPICE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connedion,the applicant,owner,or oaupant or user of such premises shall be liable for all repairs
required to an�water line and sewer lines necessary for wnnection of the premises from the main to tfie premises. if the properly ow�er
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance 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,accupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris 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 finished
grade of the land or property. (Ref 638,1156,1191)