Meter Swap ` Request Number: 14496
Public Works Division
Service Request
Problem Address: 1456 Windemere Dr Requested By: Oliver Yow�g
Departme�: WATER Addresa: No address provided
ProblemlIsaue: INSTALL AM[t METER Phone Number: 612-491-5173
Schednled Date: 20 ?-04-07 Sc6ednled'Rme: 07:30:Q0
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ACIION NEEDED:
Crexted by: Beth Kondrick Date Cre�ted: 2017-04-04
ACIION TAKEN:
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Status: In Progress S�bmitter Hsis Been �,
CoMacted
Dxte Completed: Compieted by:
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" City Of FP1C��@y
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
i/we 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 from the main to the premise and ail interior
plumbing. (Per City code 402.06) 1 also hold the City of Frid{ey and/its employees harmless for any damages that may oca,��while doing this
operation. This to indude,but not limited to valves,piping,walls.floors or the curb stop box and service fine. In understand 1 am aiso required
to obtain a permit prior to any work,ff necessary.
FIMAL METER READING(old meter) �� � � l���
Name: V 1 V'�/� �V� Address V`�1� c7� V v ���/V� ` ��
PhonelVumber ���� � 1,`� ���� Date ����,f Y�
Signdture _ � - Witness Sig�ature
OLD METER# � UV � ��� 1
OlD READING � � �� � �� v
NEW METER# ������"6 �
NEW READING O
ERT# � ���� � �D
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 municipai system and arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shall be unlawful to cover
a�y tonnecting line u�ti{an inspectian has been made and such connection and the work incident thereto has beeo approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the tnitial con�ectio�has been made to tfie water service curb stop box or the sewer lead at the property line or a water serrice lead has
been extended to the property tine for connection,tbe applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water tine a�d 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 mairrtenance andJor
repairs,including necessary street repairs at a rate set annually by an adminimative poiicy. It shall be the responsibility of the applicaat,
owner,occupant 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 servtce curb stop box for operabil'ity and at such height as will ensure that tt remains above the flnished
grade of the land or property. (Ref 638,1156,1191)