Meter Swap' ` Request Number: 14561
Public Works ihvision
Service Request
Problem Addreas: 1489 Windemere Circle Requested By: Michael Huberty
Department: WA'IER Address: N�,address provided
Fr�blemfIssue: INSTALL AMIt METER Phone Namber: 763�58-6800
5cdefiil Date: 2017-04-14 , Schednle TI�e: �OU:OU ��'`��
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ACIION NEEDED: � �`y `
Crentedby: Wendy Hiatt Date Created: 2017-04-06
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ACTION TAKEN: :, :w":,;�
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Status: In Pro�ss Sabmitter Has Been [3.:
Co�acted
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Date Completed: �.,I 1.���� Completed by: �s� :
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' City of Fridley ��� �����-'�
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understa�d that the property owner is liable for the water line from the main to the premise and all interior
-plumbing. (Per City code 402.06) 1 also hold the C1ty of Fridley and/its empioyees harmless for a�y damages that may oaur while doir�this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter) � �
Name: �i�a�Q.1 ���'F�Address �� V 1 w� (.Jl�f Vlf�—
Phone Number_ ������(J �� Date �,� �-1 — ��
Signature Witness Signature w
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OLD METER# ��,� V � �� � ��� ( � O(i'�'� r �1" ` �
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OLD READING C� �3 5 g C�
NEW METER# 1��� � 1 S 1
NEW READING v
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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 arty water of sewer line connecting the existing municipal system and any 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 permtt fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service airb stop box or the sewer lead at the property line or a water sendce lead has
been extended to the properly line for connection,the applicant,owner,or occupant or user of wch 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 mairrtenance service or repairs be performed by the City,the property owner shaii be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of 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 wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)