Meter Swap ' Request Number: 14360
Public works Division
Service Request
Problem Address: 1535 E Windemere Circle Requested By: Ron Motley
Depu�tment: WA'IER Addresa: No a�)ress pcovided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-987-2231
Schednled llnte: 2017-04-04 Scheduled TYme: 11:00:00
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ACITON NEEDED:
Created by: Beth Kondrick Date Created: . 2017-03-28
ACTiON TAKEN:
r(-w5�-�,C le o� ��-1�—
Status: In Progress Submitter Haa Been r
Co�acted
Date Compieted: +-1�L.r_. � � Completed by: ,,G�,�-�
Hours
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�`33 � ���?���� � 3
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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 and/or its employees to do what is neoessary to
replace the water meter. 1 understand that the property owner is IiaWe for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� �"' i��
Name: �� ' -w� r"� Address � ��� G, � ��V►�--
Phone Number `��Z��v�� �`�� Date_ � ^ " l _ � �
Signature Witness Signature
OLD METER# ��� �d � �y
OLD READING _ ��� `� . V
NEW METER# _ I 6 Z� ` ( ��
NEW READING �
ERT# ���� �� �IV
FRIDLEY CITY CODE
CHAPTER 402.WA7'ER,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 building f�whkh the
application is made,the owner or co�ractor shall be required to obtaln a permit for wch connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall 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 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 Itne or a wate�senrice kad has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be IiaWe 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 malntenance and/or
repairs,including necessary street repairs at a rete set annually by an administrative poliry. It shall be the responsibility af the appltcant,
owner,oceupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing 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)