Meter Swap � Request Number: 15455
Public works Division
Service Request
Problem Address: 105 75th Way Requested By: Kimberly Morris
Department: WA1ER A�ddress: No address�ovided
Problem/Tssue: INSTALL AMR ME'IER Phone Nnmber: 763-234-Z897
Scheduled Date: 2017-OS-25 Schednled'I3me: 10:30:00
U.3
ACIION NEEDED:
Created by: Beth Kondrick Date Cres�ed: 2017-OS-18
ACITON T .
A�.�� � �
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Status: In Progress Submitter Has Been r
Coirtacted
Date Completed: Comgleted by:
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� City of Fridiey / !�'
Water Departrnent �� �(���`'�-L�
6431 University Avenue NE � �
Fridley,MN 55432 � �,/�Q Z
763-572-3566 � `'C� N"'�
��`A/e hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
repface the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise arn!atl iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees fiasmless for any damages that may oaur 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 l am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(old meterJ O��� ��v
Name:_ ���tlt�c��"1 �� Address�:� t) t� W�l
Phone Number��7~ �,������Date � ���
ignature Witness Signature
OLD METER# ` ������ �
OLD READiNG V� dtJ `LVQ
NEW METER# � �����`�`�
NEW READING�
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FRIDLEY CI7Y CODE
CHAPTER�02.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prio�to constructing or repair of any water of sewer line connedin�the existing municipal system and arry house or lwilding for which the
application is made,the ow�er or contrador shall be required to obtain a permit for such connection,and shall pay a permit fee ss provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shaN be notFfied. it shail be unlawfui to cover
any connecting line untii an inspection has lseen made and such connection and the work incident thereto has beea approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENi4PtCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property Ii�e or a arate�senric�tead has
bee�extended to the propertyr line for connection,the appli�rrt,owner,or occupant or user of such premises sha{I be liabie for all repairs
required to any water line and sewer lines necessary for connecCion of the premises from the main to the premises. tf the property oatner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairitenance andjor
repairs,inciuding necessary street repairs at a rate set annually by an administrative poiiry. it shall be the responsibility of the appticant,
owner,occupant or user to perform standard mair�tenance of the sewer seroice line from the premises to the mai�including debris clearing or
root cutting and to mairrtain the water service curb stap box for operabitity ancf at such helght as will ensure that it remains above the finished
grade of the land oc property. {Ref 638,1156,1191)