Meter Swap . Request Number: 12837
Public Works Division
Service Request
Problem Address: 1415 75th Ave Requested By: Al�Pekariek
Department: WA'IER .Addresa: No address provided
ProblemlIesne: IIVSTAt,L Phone Number: 763-786-6439
Scheduled Dste: 2017-Oi-19�� � Sc�ed�le�11me: 01:30:00
�;� � 1.�
ACIION NEEDED:
CreaEed by: Wendy Hiatt Date Created: 2017-(!1-la <
ACTION TAi�N:
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5tai�: In Progress Sabmitter Ha Been �
CoMacted
Ihite Compteted: � �-'' l � -� ,� Completed by:
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City of Fridley - � ,�F, ��
, Water Department 5 �%
� � 5431 University Avenue NE
Fridley, MN 55432 ���-�S�a���� �
763-572-3566
�dwe hereby autho�ize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is{iable for the water tine from the main to the premise and all interior
plumbing. {Per City code 402.06) f also hold the City of Fridley and/its employees harmless for any damages that may occur while doi�g this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In undentand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old mete�) ` ��� ��
Name: �t�� ��,�6�� Address �� �� I ✓� ��
Phone Number 7�3 -7g�^ � �3� pate �`� �-l ' t l
Signature��[, �_�e�l/-� WitnessSignature '^—�
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OLD METER# � J Z
OLD READiNG 6 ���'��
NEW METER# 1�� l I � i � �
NEW READiNG �
ERT# � V� V � ! ` �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM IAIATER 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 conneding the existi�g municipal system and any house or building for which the
application is made,the owner or contrador shait be required to ebtain a permit for such connection,and shell pay a permit fee as provided in
Chapter 11 of this Code. After such connecCion has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting tine 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 APID MAIMTENANCE TO CONNECTION
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 fine for connection,tMe applicant,owner,or occupant or user of such premises shall be liabie 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 perEormed by the City,the property owner shal�be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service fine from the premises to the main irsc{uding debris clearing or
root cutting and to maintain the water service curh stop box fo�operability and at such height as wiff ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)