Meter Swap ,,_� Request Number: 12824
,
PuWic Works Division
Service Request
Problem Addresa�w�'� 1601 73 1/2 Ave Requested By: Bai Vang
Department: � e, WA1ER Addreaa: 1601 73 1/2 Ave
Fridley,MN 55432
ProMem/I�s�e� � '* INSTAL.L AMR METER Phone Nnmbcr: 763-784-7831
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Scbedaled Date: 2017-01-17 Sc6ednied Tlme: 11:30:00
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ACIION NEEDED:
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C�eated 6y: Beth Kondrick Date Created: 2017-01-11
AClION TAI�N:
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Status: In Progress Sabmitter Hat Been �,
Coatacted
Date Completed: ' '' t� ' �� Completed by:
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City of FridleY S � l ���, /
Water Department V
6431 University Avenue NE �jQ'� —�(� a'�j!>�3
`� Fridley, MN 55432
� 763-572-3566
I/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 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 harmiess for a�y damages that may occur while doing this
operation. This to inciude,but not�imited to valves,piping,walls,floors or the curb stop box and service line. In understand I am aiso required
to obtain a permit prior to any work,if necessary.
PINAL METER READING{oid meter) �� `"` � `�'" `
Name: �C� � �Gl.V1� Address I�ll i �3 �2- �f� .
Phone Number r ` � .�......�. .. „G'—I `�c.'��Date � '� ' �
....�
�ignature Witness Signawre
OLD METER# � / 4� ���
OLD READING � "' ���
NEW METER# ` � ` I V� ��
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 buiiding for whith the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shail 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 not�ed. It shall be unlawful to wver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Cily as a
proper and suitable connection.
40Z.06 REPAIRS APID MAINTENANCE TO CONNECTtON
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 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�rner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility o�f 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 maintain the water service curb stop box for operability and at wch height as will ensure that it remains above the finPshed
grade of the land or property. (Ref 638,1156,1191)