Meter Swap , ' ' Request Number: 12699
Public works Division
Service Request
Problem Address: 7558 4th St Requested By: Roland Evans
Depivtu�eat: WATER Addresa: No ad�css provided
Prob�em/Iss�: INSTALL AMR ME'IER Phone Nnmber. ?63-784�572
Sehed�iled Dat : 017-01-Ob � Sc�drled 1ime: 09:00:00
`AC1iON NEEDED:
Created by: W�yHiatt Ihtte Crested: 2017-Q1-03
ACTI N TAKEN: \ ;
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5tatus: 1n Progcess ��rter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department � ( �j Q��
6431 University Avenue AIE � l � ��
, Fridtey,MN 55432 ����-C��
� 763-572-3566 ��� "
�/we hereby authorize the City of Fridley and/or its employees to do what is necessary ta
replace the water meter. 1 understand that the property owner is liabte for the water line from the main to the premise and all interior
plurt�bing. (Per City code 402.06) i also fiold the Cit}r of Fridtey and/its employees harmless for any damages that may occur 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 olrtain a permit prios to any work,if necessary.
FIPIAL METER READING(old meter� � � 1� ' � y
�
Name: _�1``.d�� �/�;,�i��eWdress �� J9 'M� `�Y
Phone Number� ��� ��� Date �� r✓ � ��
�jSignature � � Witness Signature
/ � .--�
OLD METER# �0� � � � S
OLD READtNG ~7� � I y b
NEW METfR# �� y��� ��
NEW RFADING �
E�# ���� D� F�O �
�RIDI.EY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA7'ION
(Ref Ord No 113,464,565,566,529,638,562,922,988,1144,1156,1191j
402.5 PERMIT FEE
Privr to constructing or repair of any water of sewer tine connecting the existing municipai system and any house or building for which the
application is made,the owner or coritractor shall be required to obtain a permit for such cflnnection,and shall pay a permit fee as provided im
Chapter 11 of this Code. After such connection has been made,tfie Water and Sewer Department shall be notffied. It shali be un(a�aful to wver
any connecting line until an inspection has been made and such connectioa and the work incidertt thereto has been approved by the Cliy as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the iniiiaf connecGTon has been made to the water s�niice curb stop box or the sewer lead at the property line or a water serviae k+ad has
been extended to the property tine for connection,the applicarrt,owner,or accupant or user oF such premises shail be 1'wWe for ail repairs
required to any water li�e and sQwer lines necessary for connection of the premises from the mai�to the premises. tf dte property owner
requests mairitenance service or repairs be performed by the City,the property�wner shaif be cha�ed for the costs of the maintenance and/or
repairs�including necessary street repairs at a rate set annuaUy by an administrative policy. It shait be the responsibility oFthe applicant,
owner,occupant or user to perform standard mairtitenance af the sewer service tine from the p�emises to the main inciudi�g debris clearing or
root cutting and to mairitain the water service curb stop box for operahil+ty and at such height as wili ensure that it remains above the t3nished
grade of the land or property. (Ref 638,1156,1191)