Meter Swap • ���
Request Number: 15185
Public Works Division
Service Request
Pro6lem Address: 50 70th Way Requested By: Josh
Department: WA'IER A�ddreas: No a�ddress provided
ProblemlIssue: INSTAL,L AMR METER Phoae Namber: 651-226•5029
Sched�iled Dxte: 2017-OS-QB ���� Sebed�led Tl�ne: 01:30:00
�T�- �
ACTION NEEDED:
Crented by: Weudy Hi�t Date CreNed: 2017-OS-{18
ACITON TAI�N: �� ��� �
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Status: In Progress ���er H�n Been �
Coetacted
D�e Completed: �'��� �*-� Completed by:
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City of Fridiey ��� �4 l D
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�IWe he�eby authorize the City of Fridley andjor its employees to do what is necessary to
repiace tfie water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all interio�
plumbing. (Per City code 4U2.06� 1 also hotd the City of Fridley and/its employees harmless for a�y damages that may occur while doing this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old metery ��"' `���
Name: � � Y� Address __ � 0 ��� '�J��-� ._
F1 ' _ Q� G�.� §�—� �/"
Phone Number �J�` �!�" � l Date v `-'
Signawre Witness Signature ��
OlD METER# V������
OLD READING � v � ��� �✓
NEW METER# � i��� �� �
NEW READING v
ERT# � � �� �� �`�'� ,
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 whYd�the
application is made,the owner or cornractor shal!be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shatl be unlawfui to c�ver
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEfVANCE TO CONNECTION
After tfie initial connection has been made to the water senrice wrb 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 applicant,owner,or occupant or user of such premises shall be liable for ali repairs
required to any water line and sewer tines 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 propertyt owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annual{y by an administrative poliry. It sfiali be the responsibitity of the appficar�t,
owner,occupant or user to perform standa�d maintenance of the sewer service line f�am the premises to the main including deb�is dearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remains above the flnished
grade of the land or property. {Ref 638,1156,1191)