Meter Swap Request Number: 14671
Public Works Division
Service Request:;�
Problem Address: 5250 Taylor St Requested By: Pedi Mithun
Department: WATER Address: No address provided
ProblemlLcsue: INSTALL AMR ME1TiR Phone Number: 763-354-9606
Scheduled Date: 2017-04-19 Scheduled'ISme: 11:00:00
�1.� � � l , �
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-13
ACTION TAI�N:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: I �, �� _ �� Completed by: � ��
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City of Fridley �� ���(,�
Water Department �
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�/we hereby authorize the City of Fridley aed/or its employees to do what is necessary to
replace the water meter. I unde�stand that the property owner is liable for the water Iine from the main to the premise and all interior
plumbing. (Per�ty code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may o�r while doing this
operation. This to indude,but not limited to vaives,piping,walis,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_ �� L� � i �
Name� Pe c�� {vlL� 4 1 wt�� Address ���,Jv ���f/� � •
Phone Number ��� �`)�� v ��l,c= Date_ � ~ � I v�
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Signature Witness Signature
OLD METER#��� l� (�'�1 ��
OLD READING ��-/� ` `D
NEW METER# � !o�V �� �v
NEW READING v
ERT# � ��o� ✓ �� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constn�cting or repair of any water of sewer line connecting the existing municipal system and any house or buflding for wh(ch the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. k shall be unlawful to cover
any connecting line untii an inspection has been made and wch 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 co�nection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of sucfi premises shalf be liable for aii repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maiMenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an 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 wi{f ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)