Meter Swap .
" Request Number: 15287
Public works Division
Service Request
Problem Address: 106 71 1/2 Way Requested By: Mary
Department: WATER Addrea:: No address provided
Problem/Iasue: INSTALL AMR ME1F1t Phoee Number: 612-384-9538
SchednledDate: 201'7-OS-15 � Sc6ednied'I��e: 11:00:00
ACIION 1�:I�+umeowner h�s 'capqaFlseue w�t se�mi�etse atter k�ockit�oa deer.It may take heT
sbit longer to atisw�er'�IC�ier. �'�*�'� :;:�„��
Created by: Wendy H#att D�te Created: 20l 7-OS-11
ACIION TAitEN:
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Status: Ia Progr�ss 5nbmitter Has Been �
Cont�ted
D�te Coa�pleted: Completad by:
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. City of Fridley ��
Water Department � ���O !
6431 University Avenue NE �� �j �
Fridiey,MN 55432 �7
763-572-3566 �Q� ���'�
��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
piumbing. (Per City code 402.06J 1 aiso hold the City of Fridley and/its employees harmiess for any damages that may axur while doi�this
operatioa. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. !n understand i am also required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING(old meter) � �� � � ��
Name• Address e V � � f ��2..
Phone Number � � �� 1����� �"' � J � ��
Signature Witness Signature
OLD METER# �- i�� �� ��
OLD READING � � ��1 � '��ll
NEW MEfER# '-111''1�����
NEW READING 1. 1
ERT# � � �� �'�' `� ��
FRfDLEY CITY CODE
CHAPTER 402.WATER,STQRM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ocd No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMI7 FEE
Pr�or to rnmstructing or repair of any water of sewer line connecting the existing municipal system and arryy house or buitding for which the
application Is made,the owner or contractor sha41 be required to obtain a permit for such wnnection,and shail pay a perm�t fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shali be notified. tt sha{I be unlaWrful to cover
any connecting fine until an inspection has been made and wch connection and the work incident thereto has been approved try the City as a
proper and suitabie conaedion.
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 properly line or a water service{ead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of sucfi premises shail be iiable for all repairs
required to any water line and sewer lines necessary for connection af 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 ch�rged for the costs of the maimenance andjor
repairs,including necessary street repairs at a rate set annualty by an administrative policy. It shatl be the responsibility of the appliqr�t,
owner,occupant or user to perform standard rnairitenance of the sewer service line from the premises to the maia includi�debris cfearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)