Meter Swap Request Number: 15141
Public Works Division
Service Request
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1.,: 31 70th Way Requested By: Marjorie
,,�ar�ut: WATER Address: No address provided
�_%�roWem/Issue: INSTALL AMR ME1ER Phone Number: 571-3170
Schedul d Date: 2017-OS-OS � Schedaied 1lme: 01:30:00
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AC�tON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-04
ACTTON TAKEN: �� � r �
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Status: In Progress Submitter Has Been r
Co��rcted
Date Compteted: �f ���� Completed by: '1�
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� � City of Fridley �.� i���
Water Department
6431 University Avenue NE
Fridtey,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. I understand that the property owner is iiable for the water Iine from the main to the premise and all imerior
ptumbing. (Per City code 402.06) 1 also hold the City af Fridley aed/iu 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 wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FWAL METER READING(old meter) �'�����
�,�,.`�'r 1 �,� ��
Name:_�"�"`�` ���u�' Address
Phone Number �� !� �/ �� Q pate �"v � � I
Signature Witness Signature
OLD METER# � � U� �
OLD READING � � ! ✓ 1�✓�
NEW METER# � {V�o�� ` /
NEW READING v
ERT# Gr �� � t ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecti�g 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 permit fee as provided ln
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such wnnection and the work incident 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 servioe lead has
been extended to the property 11ne for connection,the applicant,owner,or occuparrt or user of such premises shatl be tiable for aU 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 maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poiicy. 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 maintai�the water service curb stop box for operability and at such height as wiit ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,3191)