Meter Swap � Request Number: 14349
.
Public Works Division
Service Request
Problem A,ddress: 51 S 1 St Moritz Dr Requested By: Dale
Department: WATER Address: No ad��ess provided
Problem/Iasue: INSTAI,L AMR METER Phone Number: 574-0576
Schednled Date: 2017-04-OS Schedeled 1lme: 11:30:00
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ACIION NEEDED:
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G'�r�s�ed by: Wendy Hi�t lfate Crestad: 2017-03-28
ACIION TAI�N:
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Status: Tn Progress Snbmitter Hss Been r
Contacted
Date Completed: �(�� ..._l'-'7 Completed by: � ,
Hours 4 � �,�"�', ,, .
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� City of Fridley � ��� � � � �
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�lWe hereby authorize the City of Fridiey andJor its employees to do what ts necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and aif interior
plumbing. (Per City code 402.06) I also hold the City of Fridley andJits employees harmless for arry damages that may aaur whNe doing this
operation. This to include,but not limited to valves,piping,walis,flaors or the wrb stop box and service tine. in understand I am aiso required
to obtain a permit prior to any Mrork,if necessary.
FINAL METER READING oid met r ��� � � �
( e )
Name� �'�,�� Addrtss � �� � 1"�CJf' ��( �— �r.
Phone Number �� 1 � V� �� Date �t� � ` /
�
Signature Witness Signature
OLD METER# ���/ ` �� (
OLD READING ���� !�
NEW METER# 1 f �� I
NEW READING �
ERT# � �� I � f lV 1
FRtDLEY C17Y 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 construding or repair of any water o�f sewer line connecting the existing municipal system and any fiouse or building for which the
application is made,the owner or contractor shatl be required to obtain a permit for such 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 shali be notified. It shall be unlawfui to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been apprrnred 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 sevvice curb stop box or the sewer lead at the property line or a water senrice lesd has
been extended to the property line for connection,the appliwnt,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the mai�to the premises. If tfie property owner
requests maintenance service or repairs be performed by the City,the property owner shati be charged for the costs of the mairrteoance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It sfiall be tfie 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 senrice curb stop box for operabi{ity and at such beight as wili ensure that it remains above the finished
grade of the land or properly. (Ref 638,1156,1191)