Meter swap � Request Number: 14464
Public works Division
Service Request
Problem Address: 1539 Windemere 6i�c7c. Requested By: Susan Blakeslee
Department: WATER Addresa: No address p�ovided
Problern/Issue: INSTALL AMR ME1ER Phone Number: 574-1215
Sched d D�te: 2017-04-12 � hednled 11me: 11:00:00
Y'l. c�--
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-03
ACTION'FAI�N:
1 �.��� � �M�
�.
Status: In Progress Submitter Hns Been r,
Contacted
Date Coarpleted: Completed by:
�- I�- �� � �Or'
2��-= y� �fi! �Sv -��'�
' City of Fridley � �� 3��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
i/we hereby authorize the City o�F Fridley andjor 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 interbr
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop hox and senrice line. 1�understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) F ���� � ��
Name: ���� �M��N^�C�W� Address__��?r� ` �v���Y��\ti v`C
Phone Number �� t�r V l� 1� `, Date �� '�'' "�
Signature �_ Witness Signature
OLD METER# I �F.�� � I � I
OLD READING "1 ��� �v`✓
NEW METER# ��� ����
NEW READING O
ERT# � � V� � �O �
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 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and ariy house or building for whkh the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shall pay a pe�mit fee as provided tn
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to�ver
any connecting line until an inspection has been made and such connection and the work incident thereto has been appro�red by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE'f0 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 se�lead has
been extended to the property fine for connection,the applicant,owner,or occupant or user of such premises shalf be liable for all repairs
required to any water line and sewer lines necessary for connection 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 costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibil'�ty aF the applicant,
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 finished
grade of the land or property. (Ref 638,1156,1191)