Meter Swap ,. Request Number: 14251
Public Works IAvision
Service Request
Problem Address: 6020 Stinson Bl�d Reqnested By: Jolm
Depsrt�snt: WA1ER Address: No address psovided
Problemllssue: IN5TALJ.,AMR ME'IER PheAe Namber: 572-3758
ScAe�ed I�te: 2017-03-27 Sctiednied'i�iae:
Z��`' �' m
ACIION NEEDED:
CreMed by: Wer�dy Hi�x Date Cre�ed: 2017-03-2Z
` s�s ��e�-.
���'�� AC1iON TAKEN: �
�_�.'�`- � 1� � � ��
w__�__�_w_ � �
� � � � '':.�' .
�..4�t��.
.�.__ _ � �� fi
...................... . . . ��f .
Stat�s: In Progress 5nbmitter�a Beee r
Cunt�eted
D�e Con�leted:2,�,�� '� Completed by: �� �
J
�.2� ,- 4 a��2 ti � --�I
y ' � �- � r�c�
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 iMerio�
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing thls
operation. 1'his to include,but not limited to valves,piping,walls,floors or tfie curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAI.METE READING(old meter) �f �� ���
Name• ��l�1.��'1 Address �s+��V J Uh- �!
�` �
Phone Number `� `�' �J 0 p� c,J� �� '"���
Signature NCdness Signature �
OLD METER# 4� V v I 1 l�s�'l
OLD READING � ! / �/ `�
NEW METER# `�l� � a��t 3
NEW READING v
ERT# � �� a �3� �.
FRIDLEY CITIf CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewe�line connecting the existing municipai system and any house or buiiding for which the
application is made,the owner or corrtractor shail be required to obtain a.permit for such connection,and shall pay a�rmit fee as provided in
Chapter 11 of this Code. After such connectioe has been made,tfie Water and Sewer DepartmeM shail be not�ed. It shall be unlawful to cover
any connecting line us�til an inspection has been made and wch 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 boz or the sewer lead at the property fine or a water service lead has
been extended to the property line for connection,the applicam,owner,or occupant or user of such premises shali be liable far all repairs
required to any water line and sewer fines necessary for connection of the premises from the main to tfie 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 mairttenance andjor
repairs,including necessary street repairs at a rate set annually by a�administrative poliry. It shall be the responsibility of the applicarit.
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing 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 fi�ished
grade of the tand or property. (Ref 638,1156,1191)