Meter Swap - • Request Number: 12842
Public Works Division
Service Request
Problem Address: 1351 75th Ave Requeated By:
DepartmeM: WATER Addreas; No address provided
ProMem/tsaae: INSTALL METER Phoae Namber: 951-11 S•8404
Scheduled 2017-01 19 � Sc6ednled'Rme: 10:30:OU
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ACIION NEEDID:
Created lry: We�y Hi�t Date Crerted: 2017-01-12
AC'TION TAI�N:
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I \�t�— � .
5t�us: In Progress �i�nitter Hac Beea �.,
Co�acted
Date Completed: Completed by:
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City of Fridley
Water Department ��'aj--SZ1�i��'�Ul
- 6431 University Avenue NE
' Fridley,MN 55432 (��,
763-572-3566 S� �a�✓
�1We hereby authorize the City of Fridley andJor its emp{oyees to do what is necessary to
replace the water meter. I understand that the property owner is tiable for the water{ine from the main to the premise and aii i�terior
plumbing. (Per City code 402.Q6) 1 also hold the City of Fridfey andjits empfoyees harmless for any damages that may ouur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors 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(o{d meterj �� � � � �� �,�
Name: Address � �� l ��� � 1�`-�--�
Pho�e Number f _r r r���ci�z�Date / � � �� 4. �
Signature � Witness Signawre `
OLD METER# I �� 1 �� � S
OLD READING '�T� �� � �O
NEW METER# �� � I �J���
NEW READING �
ERT# �� I
0
FRIDLE1l CITY CODE
CHAPI'ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
(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 connectin�the existing municipal system and any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for wch wnnection,and shalt pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,tfie Water and Sewe�Department shall be notlfied. It shall be unlawful to cover
any connecting line untit an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE 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 senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shalt be liabte for afl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to tfie premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,inctuding necessary street repairs at a rate set annuatly by an administrative poliry. ft shall be the responsibility of the appiicant,
owner,occupant or user to perform standard mairrte�ance of the sewer service line from the premises to the main induding debris ciearing or
root cutting and to maintain the water service curb stop box for ope�ability and at such height as will ensure tfiat it remains above the finished
grade of the land or property. (Ref 638�1156,1191)