Meter Swap � Request Number 32
Public works Division JG�-� ���,(� v��-
Service Request �J � (t����
Problem Address: 1559 75th Ave Requested By: Chris Cich
Department: WA'IER Addressc No a�dress provided
Problem/Iasue: INSTALL AMR ME1ER Phone Number: 952-426-8455
�a-�R Sut-�C��efl i��it,l
Scheduled e: 2017-03-31 Schedeled 1Ime: 02:OO:OQ
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ACIION NEEDED:Install AMit and make sure water is on.New ow�r.
Created by: Weudy Hiatt Date Created: 2017-03-30
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ACiION T.AI�N:
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Status: In Progress 5ubmitter Has Been r.,
Contacted
DAte Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/�e hereby authorize the City of Fridiey and/or its emptoyees to do what is necessary to
reptace 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) f also hold the City ofi Fridley andJits employees harmless for any damages that may o�r while dang this
operation. This to include,but not limited to vaives,piping,walis,flooa or the curb stop box and servke line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter] ���O�
Name: Address
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Phone Number Date �J`��
Signature Witness Signature _
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OLD READING v�� �VV
NEW METER# �t1 vl1 �d�
NEW READING Q�
ERT# ����„��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMfT FEE
Prior to constructing or repair of any water of sewer fine connecting the existing municipal system and any house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such co�nection,and shali 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. It shall be unlawful to cover
any connecting line until an inspection has been made and such connectlon and the work incident thereto has been approved by the Clty as a
proper and suitable connection.
4U2.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer fead at the property Ilne or a water servke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water Ilne and sewer lines necessary for connection of the premises from the main tc the premises. tf the property owner
requests maintenance service or repairs be perPormed by the City,the property owner shall be charged for the costs of the maiMenance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shatl be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of ihe sewer service line from the premises 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)