Meter Swap . Request Number: 12795
Pubhc Works Division
Service Req�est
Problem Address: 1670 75th A� Requested By: Mr Muyres
Depsrtment: WA'IER Addreas: No ad�ess p�ovided
ProWem/Issue: IN5TALL AMR ME1ER P�one Number: 651-58?-1296
5cheduled Date: 2017- 1-10 � Sc6ed�le�T1me: 02:OO:OEI
D
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-09
ACTION TAI�N:
4 � ��
...j: . . . _ . .
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Status: In Pro ss Sebmitter H�r Been � �
� Contacted
Dxte Compteted: Completed hy:
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1V � � - � `7 �
City af Fridley ��`� � `J �'3 �J� _ �r
. Water Department
� 6431 University Avenue IVE
Fridley, MN 55432 SO ` � 3 �
763-572-3566
�/M+e hereby authorize the City of Fridley andf 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) 1 aiso hold the City of Fridley andJits employees harmiess for any damages that may occur while doing this
operatio�. This to include,but not limited to valves,piping,walis,fioors 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(oid meter) �� ,1� Q
Name:��c L' 1�M 'v� Address ���v 1 � �"
Phone Number � �� � J��� Date j '� 4 � � ��
�igna itness Signature
OLD METER# ��� � �� 1 �
OLD READING ���\ � —1�
NEW METER# `I� �1 E? _ ��'
NEW READiNG�
v
ERT# �('_'��� �C�'�cJ
FRIDLEY CITY CODE
CHAPTER 402.WATER,ST�RM WATER AND 5AN{TARY 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 fine connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shalf be required to obtain a permit for such connection,and shait pay a pe+mit fee as pravided 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 appro+red by the City as a
proper and suitable connection.
40?.06 REPAIRS AND MAINTENANCE TO CONNEC710N
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the proQerty line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shalt be liabte for ali repairs
required to any water line and sewer li�es necessary for connection of the premises from the main to the premises. If the property owner
�equests maintenance 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 policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the prem'�ses to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land vr property. (Ref 638,1156,1191�