Meter Swap ; � � � �
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' � Request Number: 15803
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Public works Division
Service Request
Problem Address: 7806 Alden Way Requested By: ?
Department: WATER Address: No address provided
Probiem/Issue: INSTALL AMR ME1ER Phone Number: 571-6232
Scheduled Date: 2017-06-0 5c6ednled 1lme: 10:00:Q0
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ACTTON NEEDED:
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Created by: W�ndy Hiatt ��'�t�Crented: 2017-06-06
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ACTION TAKEN:
......._.__.__ ���.:.c��.�._ �
Statas: In Progress ����r H�c Been r
Co�acted
Dxte Completed: Completed by:
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. �ity��f F�adley �� I I��w
Water Departrraerst S y� ]
~ f � �431 l�nBversity Averoue NE
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Fr�diey,MP/ 55432 •-3��, („� G� C���Q �
7fi3-572-356�
��'"�Q hereby authorize the City of�ridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is tiabte for the water line from the anain to the premise and all irrterior
plumbing. (Per City code�02.06) I also hoid#he Cifiy of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floars or the curb stop box and service line. in understarK!t am also requir�
to abtain a permit prior to arry wor6c,if necessary,
FINA!METER READiA1G(otd meterj �"`� � �� `�
Plame• Addre$s v� �`�� �
Phone lYumbe �� � — ���� Date V� � �`� l��
�n re Witness Signature ,
OlD1VfETER# �� � l C�� .
OLD READING ��� t�
NEW METER# � t �p�`-� I p�. '
NEUV READING �
ERT# �� ✓ ✓ l � �l�J
FRIDLEY CIIY CODE
CHAPTER 402.WA�'ER,SCORM WATER AND SANITARY SEWER
ADMINfSTRATiON �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 RERMiT FEE
Prior#o constructing or repair of arty water of sewer line connecting the existing municipai system and arty house or tn�iiding for which the
application is made,the owner ar coatractoc shal4 be required to obtain a permit for such conaection,and shafl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be rtotified it shalt be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work+ncidertt thereto has been approved by#he Crty as a
proper and suitable wnnection.
402.06 REPAIRS AIVD MAINTEIUANCE TO COPtNECT10N
After t1�e initiai connection has been made to the water service curb stop box or the sewer iead at the property line or a water seroice lead has
been extended to the property line for connection,the applicarit,owner,or occuparrt or user of such premises shall be liable for ap repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. tF the property owner
requesfis maintenance service or repairs be performed by the City,the property owner shafl be charged for the casts of the mairttenance and/or '
repairs,inctuding necessary street repairs at a rate set annual(y by an administrative poliry. It shaii be the responsibiliry of the appiiqnt,
owner,occupant or user to perform sCandard maisrtenance of the sewer service tine from the premises to the main including debris clearing or
root cutting end to maintain the water service curb stop box for operabilitq and at such height as will ensure that it remairts above the finished
grade of the(and or property. (Ref 638,1155,1191j
�o�/or fr�aoey
Water�epartment
� ` � 6431 Uniwersit�Avenue WE
' Fridley,MN 55432 ��jJ�����
763-5723566 ��' 7 `���
1/we ��L�
hereby authorize the City of Frrdley and/or its emp oyees to do what ds necessary to
repiace#he water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
ptumbing. �Per Cit}r code 402.06) 1 aiso hold the City of Fridley and/its employees harmless#or any damages that may occur whi(e doing this
operation. This to inclucle,bufi not{imi#ed to valves,piping,waiis,ffoors or the curb stop box anci service line. In understand 1 am also required
to obtain a permit prior to any wo�4c,if necessary.
FINAL METER READING(old meterj
� � 5 � �� ��J
Name: Address � _
Phone Number � G � `�� a p�e �-- ��— �,Z
ign re YVitness Signature
OLD METER# �� ` �� � d •
� OLD READING_ � t �� � �� =�' '����
NEW METER#_ t t� � I v � ��,
��
NEW READING v
ERT# ���� 1���
FRfDLEY C1TY CODE
CHAPTER 402.WATER,S70RM WATER AND SANITARY SEWER
ADMiNiSTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connectiag the existing municipal system arn!arry house or buifdi►yg for whicFi the
application is made,the ow�er or corrtractor shalf be required to obtain a permit for such connection,and shall pay a permitfee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be noti�ied. It shall be untawfui to covef
any connecting line urrtif an inspection has been made and such wnnection and the wark inaderrt thereto has been approved by the City as a
proper and suitable cannection.
402.06 REPAIRS AND MAINTENANCE TO CONNECiiQN -
After the in'rNal 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 applicarrt,owner,or accupant or user of such premises shall be liable for ali repairs
required to arry 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 perFormed by the C'rty,the property owner shall be charged for the costs of t�e mai�enance and/or
' repairs,including necessary street repa9rs at a rate set annuai{y by an administrative poliry. It shatl be the responstbility of the appliprrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to Che main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wtil ensure that it remair�s above the finisfied
grade of the land or property. (Ref 638,1156,1191)
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