Meter Swap Request Number: 12814
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Public Works Division
Service Request
Problem Addreas: 1475 73rd Ave Requested By: Cazrie Lafrac�ce
Department: WA1ER ����: 1475 73rd Avc
Friclley,MN SS432
PrablemiIasue: INSTALL AMR ME1ER Phoae N�ber: �63-785-9122
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Sc�ed�le e: 2 17-01-18 `,r,� Sc�edalei'Rmes 01:30:00
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ACTION NEEDED:
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Creatdd by: Beth Kondrick D�e Created: 20l 7-01-10
ACTION T����
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Statns: M Progress 3nbmitter A�s Bcea r,
Coututed
Date Com�eted: �;"'- l�`��� Completed by: ` ,p
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City of Fridley �t-1 ;�(��`'� � /
Water Department U �
6431 University Avenue NE .,
�ridley,MN 55432 �c� �j"��`�����J
� 763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occ�ur 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) � � �� �U`-�
Name: ��-�71.rY`t� �i'�"4"`O�v�.L�Q Address � 1�� ��1�� �-VC
Phone Number ��� ��� �_l��� Date � �`' J "�
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Signature Witness Signature
OLD METER# ��� / � l � (
OLD READING � ��� ! a�
NEW METER# i 1 1; � � l ��
NEW READING �
ERT# � �� C/ �L � �
FRIDIEY 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 wnnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection 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 initiai 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 applicant,owner,or occupant 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 property�aner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative palicy. It shali be the responsibility of the app4icant,
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 service curb stop box fo�operability and at such height as wilt ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)