Meter Swap ' Request Number: 14386
Public works Div;sion
Service Request
Problem�ddress: 5179 St lmier Dr Requested By: Tina Karelson
Department: WATF,R Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 612-408-0636
5cheduled Dati: 2017-04-04 Schednled 1lme: 08:OU:00
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ACTION N�EDED:
Created by: Wendy Hiett Date Creited: 2017-03-29
ACTION TAKEN:
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Status: In Progress ��rter Hn�Been r,
Contacted
Dxte Compteted: �,����� Completed by: ����s,p
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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. 1 understand that the property owner is liable for the water line from the main to the premise and all l�rterior
plumbing. (Per City code 402.06j 1 also hold the City of Fridley and/its employees harmless for any damages that may oasr while doirp�tfiis
operation. Thts to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) v�� ���
Name: 1 1�l,E%4 �Y 'e �,�1(� Address � ��� �" �'���� �r:
Phone Number ��2 r�vv v "'�' �� Date ��L1 � � �
Signature Witness Signature �
OLD METER#_ d�'�V/dp�--/ �
OLD READING �� I ✓��
NEW METER# � ��D � 1 � �
NEW READING �
E�# � a � �. 310 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER 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 rnnstructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for which the
application is made,the owner or contrador shall be required 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�ver
arry connecting line untii an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
, been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be IiaWe for atl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property oarner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�rtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative po{icy. It shaN be the responsibil'�ty of the applicaM,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that tt remains above the finished
grade of the land or property. (Ref 638,1156,1191)