Meter Swap ,
✓ Request Number: 15155
Public works Division
Service Request
Problem Address: 5174 St Imier Dr Requested By: Marsha
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 571-5751
Scheduled Date: 2017-OS-06 � Scheduled Zlme: 10:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-OS
AC'IION TAI�N:
Status: In Progress Submitter Haa Been r
Contacted
Date Completed: Completed by:
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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 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 premise and all iriterior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may o�cur while doing 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 aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING old meter ��� � � `�'
( )
Name:_ I/� �� Address ����t � �tMi ��,��
Phone Number �� �✓ ��� \ Date ���� 1
Signature Witness Signature V /�)
OLD METER# �� �Z��2�
OLD READING � ������
NEW METER#
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NEW REaDING 48907135
E�# IIIIIIIIIIIIIIIIIII E
� � � III 7�g1265'I
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 tonstructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding 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 as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be�otified. It shali be unlawful to cover
any connecting li�e until an inspection has been made and such connection and the work incident thereto has been approved by the Cty as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTtON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property tine or a water servia lead has
been entended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnection 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 mai�tenance andJor
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
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)