Meter Swap (2) v � Request Number: 12839
Public Works Division
Service Request
Problem Address: 1335 75th A�e Requested By: Ih�cyi Allen
Departmeut: WA'IER Address: No a�dress providad
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-439-0236
Sche edDate: 201?- 1-19 � Schedoltdllme: 07:OU:00
ACIION NEEDED:
Createdby: WendyHia�t DateCre�ed: 2017-01-12
AG7ION TAI�N:
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Status: In Progress ���er Ii�Beaa n
Contscted
Date Completed: Completed by:
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City of Fridley ��3 ' ��'� 8�� � �a
Water Department
.
- 6431 University Avenue NE
Fridley,MN 55432 5 � � � �
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 iriterior
plumbing. (Per C'ity code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr 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 1 am also required
`�,.� to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter)� � � C���
Name: ��, ��1�'`�'� � Address 1r� � J � �
Phone Nurr�er•������ ���� Date �` � 1� � �
Signature �tness Signature ���
OLD METER# � � ��' � �� �
OLD READING / `b � � ���✓
NEW METER# ��'�1 f�� ` S
NEW READING O
ERT# �[i��� ���V
FRIDlE1l CIT1l CODE
CHAPTER 4U2.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 municlpal system and any house or building for which the
application is made,the owner or contrector shali be required to obtain a pe�mit 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. lt shail be unlawful to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOPI
After the initial 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 appiicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water tine and sewer lines necessary for connedion 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 shali be charged for the costs of the maintenance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant.
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that tt remains above the finished
grade of the land or property. (Ref 638,1156,1191)