Meter Swap ,
` Request Number: 14769
Public Works Division
Service Request
Probtem Addresa: 6440 Squire Dr Requested By: On�r
Department: WA'IF,R Address: No address provicied
Probletn/Issue: INSTALL AMR ME1ER Phone Number: 763-502-9088
Schedvled D 2017-04-21 Schednled 1lme: 10:3U:00
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AGTtON NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-18
ACTION TAK�N:
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St�tus: In Progress Snbmitter Hns Been �.
Co�ncted
Date Coffipleted: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authoriae the City of Fridiey and/or its employees to do what is neaessary to
replace the water r►ieter. 1 understand that the property owner is liable for the water line from the main to the premise and afl irKerior
plumbing. (Per City code 402.06) I also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to include,but not lim�ted to valves,piping,walls,floors or the wrb stop box a�d s+ervice line. In understand 1 am afso required
to obtafn a permit prior to any work,if necessary.
FINAL M R READING(old meter) 1 �� �y �Q
Name: �� Address YJ �S�'Q
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Phone Number �� (�����"�� Date �✓�,` V /
Signature WPtness Signature
OLD METER# `��� ����
OLD READING � �� �� ��
NEW METER# �- ti�,.O d�I ��
NEW READING O
ERT# � 2v�� 1 ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTltATION
(Ref Orcf No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to co�structing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shall be requi�ed to obtai�a permit for such connection,and shalf 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 not�ed. 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 City as a
proper and suitable c4nnection.
402.06 REPAIRS AP1D MAINTENAfVCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly tine or a water service lead has
been extended to the property line for wnnection,the applicant,owner,or occupant or user of such premises shall be Itable for all repairs
required to arry water line and sewer lines necessary for conneetion 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 wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative pol'scy. !t shall be the responsibility of the applicar�t,
oarner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain tfie water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)