Meter Swap �
' Request Number: 12625
Public Works Division
Service Request
Problem Address: 7510 4th St Requested By: Kadicicemal
Deputment: WATER Addre:s: No ad�ess providcd
Problem/Is:�: INSTALI,AMR ME1ER Plwnc Number: 763-785-4606
Sc6e ed DAte• 2017 01-04 � i Se6tduled 11me: 11:30:0�
� �
ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2016-12-29 •
ACIION TAKEN:
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St�: In Progc�ss Snbmftter Has Htea �.,
CoMact�d
,
D�e Compteted: �."��� � � Coe�let�d by:
City of Fridiey �� � ��vr�(�S U '��---
Water Department
6431 University Avenue NE
` Fridiey,MN 55432 � � `� / _
763-572-3566 �C-' ' ( ��'�'
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 all interior
plumbing. (Per C'ity code 402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to incfude,but not lirr�ited to va{ves,piping,wafis,floors or the curb stop box and service line. 1�understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old metesJ � �` W �
Name: .��'�'��"'����� Address /� � � � J�--.
�a. '"] � �j r_ �]
�:S PhoneNumber !� � �v� ��`��Date � ��' l.�
Si nature ✓`���L /''T� � C' Witness Signature r�—
OLD METER#_t���� �" �
OLD READING `�`e � � l v
NEW METER# �� ��1 v`� � I
NEW READING �
ERT# � ��� � � � �
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,115fi,1191)
402.5 PERMIT FEE
Arior to coristructing or repair of any water of sewer Tine connecting the existing municipal system and arry house or buildirq�for which the
application is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provlded in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notiffed. !t shatl be unlawful to cover
any connecting line untii an inspection has been made and such connedion and the worlc incident thereto has been approved by the�ty as a
proper and suitable connection.
4�2.06 REPAlRS AND MAINTENANCE TO CONNECTfON
After the initial connection has been made to the water service arb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premues shall be liabie for all repairs
required to arry water fine 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 shaU be charged for the costs of the mai�enance andJor
repairs,including necessary street repairs at a rate set annualty by an administrative poliry. R shali be the responsibilfij ofi the applicarrt, �
owner,occupant or user to perform standard mair�tenance of the sewer service line from the p�emises to the main including debris clearing or
root cutting and to maintain the water senrice curb stop box for operabitity and at such height as wili ensure that it remairu above the finished
grade af the land or property. (Ref 638,1156,1191)