Meter Swap s
Request Number: 16440
Public works Division
Service Request
Problem Address: 5201 St Imier Dr Requested By: Libam
Department: WATER Address: No address provided
Problem/Isaue: INSTALLAMRMETER PhoneNumber: 651-261-8114
Schedaled Date: 2017-0 -25 Schedaled 1tme: 08:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-24
AC7ION T N:
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Status: In Progress �u�tter Has Been r
Contacted
Date Completed: Completed by:
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� � City of Fridley %�� ����
Water De�artm�en# �U
6431 Universit}/Avenue NE
Fridley,MN 55432
763-572-3566
�f"'�e hereby authorize the City of Pridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all iaterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey andJits emplayees harmless for any damages that may accur while doing this
vperation. This Lo inclede,but not limited to vafves,piping,walis,floors or the curb stop box and service line. In understand t am atso required
to abtain a permit prior to any work,if necessary.
FINAI METER READtAi6(otd meterJ _ 1 �� t �-1,/
Name:� Address ��� c.�l+�� l'�� �`�
Phone Number t ��� 1 � `"'� pa� �'�_ (/�� Y�
Signature Witness Signature
OLD METER# ��� �o'� ��
OI.D READING � �� � �
NEW METER# �,� J�����
NEW READIAIG O '
fRT# � �������
FRIDLEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMtNISTRATlON
(Ref�rd No 113,464,565,566,624,638,662,922,988,1144,1156,1191j
402.5 PERMiT FEE
P�ior to constructing or repair of arry water of sewer line connecting the existing municipaf system and any house or buitding for whith the
appiication is made,the owner or contractor shali be required to obtafn a permit for such connection,and shall pay a pesm�t fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C'rty as a
proper and suitable connectioR.
402.06 REPAIRS AR{D MAINTENANCE TO CONNEGTION
After the initiat connectivn has been made to the water service curb stop box or the sewer lead at the property line or a water senrice tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shal{be liabie for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf tfie property oarner
requests mairstenance senrice or repairs be perFormed by the Cty,the property owner shall be charged for the costs af the maiMenance and/or
repairs,inclading necessary street repairs at a rate set annual{y by an administrative poliry. It shail6e the responsibitity of the appiicarrt,
owner,occupant or user to perform staadard mairrtenance of the sewer seroice 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 height as will ensure that it remains above the finishect
grade af the land or property. (Ref 638,1156,1191)