Meter Swap �
� Request Number: 12673
Public Works Division
Service Request
Problem AddresB: 7574 Sth St Requested By:
Depart�aent: WA'IER Address; No ad�ess provided
Problem/Issue: INSTALL AMR ME'IER Pho�Nnaber: 612-232-SS22
Sc�ednied Date: 20 7-01-21 Scbedule�Tlme: 10:00:�
� ! V�
AG7ION NEEDED:
Created by: Wendy Hiffit Date Cre�ted: 2016-12-30
ACTION TAI�N
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Statns• In Progress Submitter R�Been r.
Ceatacted
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I?ate Complettd: Completed by:
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City of Fridley
. Water Department �jCht.��-���
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� 6431 University Avenue NE ���
� Fridley,MN 55432 �� � I ( {�,
763-572-3566 ��
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the Clty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,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.
FINAL METER READING(old meter) I � � �� � ` �
Name: ------�"__�__._r....... Address � J� � ��t' v
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Pho�e Number��;�-�J�.'��� Date 1 � ��r �' 1
Signature ,�� � �tness Signature ��-�""�
OLD METER# � / Z I � �� �
OLD READING � I �C� � �L/
NEW METER# �� ���� i �� �
NEW READING �
ERT# t/� ��� � ���
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATI4N
(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 arry house or Rwildir�for which d�e
application is made,the owner or corrtrector shall be required to obtain a permit for such connection,and shall pay a permit fee as provlded tR
Chapter il ofi this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to c.over
any connecting line until an inspection has been made and such connection and the work inciderrt 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 line or a water senrice lead has
been extended to the property line for connection,the appiicarit,owner,or occuparrt or user of such premises shall be liable 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 properly orrner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility of the applicar�t,
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 senrice curb stop box for operability and at such height as will ensure that it remains above the fPnished
grade of the land or property. (Ref 638,1156,1191)