Meter Swap x
� � Request Number: 15209
Public works Division
Service Request
Problem Address: 6620 Stinson Bl�nd Requested By: Jessica
Departme�: WA1ER Address: No adcfress provided �
Problem/Isaue: 1NSTALL AMR ME'IER Phone Number: 612-558-2185
Scheduled Date: 7-OS-1 Sc6eduled Tlme: 07:00:00
ACITON NEEDED:
Created by: Wendy Hiatt Date CreAted: 201'7-OS-08
ACIION TAI�N: �
� �
Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by:
Hours -�-j-^ � �
V l '�/rl� � �
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City of Fridley G�� ��d"'C�� � ��
� Water Departrnent
6431 UniversityAvenue NE �D � ����
Fridley,MN S5432
763-572-3566
!/we hereby authorFze the City of Fridley and/or its employees to r!o 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 iitterior
plumbing. (Per City code 402.06) 1 also hold the C'�ty of Fridley and/its employees harmless for any damages that may ocwr while doing this
operatiort. This to include,but not limited to vatves,piping,waHs,floors or the curb stop box and service line, fn understand!am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIPI6(old meter) � { `) � ��O
Name:_����`��- Address ���� �1 IY t�� �J�V�
Phone iVumber �1����� G-�{ fJ�Date � L�� '�
Signature Witness Signature
OLD METER# �`�T ��{�"�
OLD READING=1 '_f ` �Z�
NEW METER# '1/,������2
NEW READING v
ERT# � � l-� I'�7 �� �
FRIDLEY CITY 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 PERMlT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and ar�y house or building for which the
application is made,the owner or coritractor shall 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 shall be notified. k shall be unlawtul to c�over
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 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 senrioe lead has
been extended to the property line for connection,the appiicant,owner,or occuparrt or user of wch premises shall be tiabte for att repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs be performed by the City,the property ow�er shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrative policy. It shalt be ti�e responsibility of the applicaM,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the maln induding 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 finished
grade of the land or property. (Ref 638,1156,1191)