Meter Swap � Request Number: 12820
Public works Division
Service Request
Problem Address: 1479 73 1/2 A�e Requested By: Tseten
Departme�: WATER AddreBs: No ad�ess provided
Probtem/Issuec INST.ALL AMR METER Phone Number: 612-212•9526
Schednled Date: 2017-01-17 � Schedule�11me: (19:00:00
� �
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 201'I-01-1 l
AC'IION TAI�N:
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Statva: In Progress ���er Has Beee r,
CoutActed
Dste Compteted: �—l�''l� Completed by:
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City of Fridley ' v i � G U �
Water Department � ��
r 6431 University Avenue NE 2 �� �-�c>�-�
� Fridley, MN 55432 >�� S�
763-572-3566
�/We hereby authorize the City of Fridley and/or its empioyees 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 irrterior
plumbing. (Per City code 402.06) I also hold the City 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 boz and service line. In understand I am aiso required
to obtain a permit prior to any work,ff necessary.
fIP1Al METER READiNG(old meter) vllJ �l �
�-{ 7�J `� t
Name: �S� � Address � ` ` 1 • �� ,Z �� "
Phone Number
�.0 �� ` �,�.,.� 1 ✓�� Date L ` � !. � L (
�'Signature � �- Witness Signature
OLD METER# � O � ���
OLD READING__� ,J W� � ( V
NEWMETER# � � � � �" `� �
NEW READING v
ERT# `� � " � �v��
FRfDLEY CITY C013�
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ,
ADMINtSTRATION -
(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 connecting the existing municipal system and any house or buildir�g for which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,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. R 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 connedion.
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 service lead has
been extended to the property line for connection,the applicant,owner,or occupaM 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 owner
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 annualiy by an administrative poliry. It shaii be the responsibility of the applipnt,
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 maintain tfie water se►vice curb stop box for operabiiity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)