Meter Swap ►
' Request Number: 16277
Public works Division
Service Request
Problem Address: 6747 Waslungton St Requested By: Jemufer Johnson
Department: WA1ER Address: No address provided
Problem/Issue: '11�SALFI;JNCTIG�iAtG ME'�E�T Phone Number: 612-735-9330
Schedaled Date: 20 7-07-i l � Sc6ednled'IYme: 07:00:00
AC1TO�NF.�t;R�ceiwed a st�apQed nsdtar&ann T Itility Bitl�ng.
Created by: Wendy Hiatt Date Created: 2017-07-10
ACIION TAI�� � � '
I �,.�::�......................._ � �-........................___ _...__.___._w_______ _
Statns: In Progress � Snbmitter Haa Been r
Co�acted
Date Compteted: Compieted by:
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s City of Frid9ey �� �y ��� `� ���
" Water Departrvient C,���
6431 University Avenue NE �-� � �e�j
Fridley, MN 55432
763-572-3566
�f`Ne hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line f�om the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 aiso hold the�ity of Fridiey and/'rts employees harmless for any dasnages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. IA understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � l���� "'
Name: .�Y{1�1�/' �b�jQVl Acidress 1 1 � �hr� i l�h �'
Phone Number �'�`� ` � /��p� � ^' 1 I " I�
�Signature Witness Signature
OLD METER# l��'"1 '��� �`�'
OLD READING ��v`V �O
NEW METER# � 4 J����
NEW READING V
ERT# 1��1��j� ��D
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
P�or to constructing or repair of any water af sewer line connecting the existing municipal syst�m and arry house or buiiding for which the
application is made,the owner or contrackor shall be required to obtain a permit for such con�ection,and shaN pay a pennit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Departmerrt sha!!be notif+ed. ft sfiall 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 C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been rnade to the water senrice curb stop hox 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 such premises shall be liable for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. ff the property owner
requests mairnenance service or repairs be performed by the City,the property owner shall be charged for the rnsts of the maimenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shail be the responsibility aF the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer senrice fine from the premises to the main including debris clearing or
root cutting and+to maintairt the water service curb stop box for operability and at such height as will enwre that it remains above the finished
grade af the land or property, (Ref 638,1156,1191)