Meter Swap ` Request Number: 14540
Public works Division
Service Request
Problem Address: 1440 Windemere Dr Requested By: Amy Lamere
Departme�: WATER Addresa: No address�ovickd
Problem/Issne: INSTALL AMR ME1ER Phone Nnmber: 612-227-0185
ScMednled Date: 2017-04-13 Schednled 1lme: 02:00:00
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ACIION NEEDED:
Created by: We�y Hiffit Date Created: 2017-04-OS
ACIION TAKEN:
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Status: In Pro ss Snbmitter$as Been L.,
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Date Completed: �� I�,�f`7 Completed by:��l,�
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/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 iMerior
plumbing. (Per City code 402.06) 1 also hoid the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
ope�ation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand 1 am alw required
to obtain a permit prior to any work,if necessary.
FIN%f�C�METER READING(old meter)_ I �✓ � 1 • `-' �
Name: �1"`� �—�`' ''� Address �" 4— lo V"U������ ��
Phone Number �-Y/�'�_ v _�� ��1� Date � � ��^ ��
Signature Witness Signature
OLD METER# Y�oC��q ���
OLD READING �W I 1 ���
NEW METER# ���O � v��
NEW READING �
ERT# �o"�I � v� �
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 any house or buiiding for whkh the
application is made,the owner or contractor shail 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 DepartmeM shall be notified. It shall be unlawful to cover
any wnnecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
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 service lead has
been extended to the property Iine for connection,tfie appticant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines neceuary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inciuding necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)