Meter Swap • Request Number: 15531
Public Works Division
Service Request
Problem Address: 7540 Alden Way Requested By: Julie
Department: WA'IER Address: No ad�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-732-3495
�Scheduled te: 2017-06- 2 � Scheduled'IIme: 02:00:00
_�� � �
ACTION NEEDED:
Created by: Wendy Hiatt Date Cre�ked: 2017-05-24
AC�ION TAKEN:
�-�-��-�.,�C� _
Status: In Progress Submitter Hss Been r
Contacted
DAte Completed: /' ,_ 1` �� Completed by: C _ (�_ _^
�0 oC J C.i,��
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- �City o#Fridley �b '.r �..� 1 ���
Water Department �
6431 lJniwersity Avenue NE �� � (���
Fridley,MN 55432 �'~
763-572-3566
�0°iYe hereby authorize the C'rty of�ridtey and/or its employees to do what is necessary to
replace the water meter. i understand Chat the property owner is liable for the water li�e from the main to the premise and alf interior
plumbing. (Per City code 402.06) 1 aiso hold the City of Fridley and/its emplayees harm{ess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or tt�e curb stop box and service line. in understand i am aiso required
to abtain a permit prior to any work,if necessary.
FlNAL METER READiNG(old meter� � � ���v
Plame: ��.�.1,4 L 14ddress F�rW
Phone Number ��'� "���-'����Date �2 ` oC, " � `
Signature Witness Signature
.
OLD METER# �� ' � � ��
�
OLD READING � � � `�� �
NEW METER# � t����� �
NEW READtNG �
ERT# ��� � �l(J
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAAIITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1Z91]
402.5 PERMiT FEE ,
Prior to constructing or repair of any water of sewer line connecting the existing municipaf system and arry house or buiiding for which the
appiication is made,the owner or contractor shall be required to abtain a permit for such connection,and shall pay a permit fee as provided'+n
Chapter 11 uf this Code. After such connection has been made,the Water and Sewer Department shali be notified. It shail be uniawful to cover
any connecting line untii an inspedion has been mede and sucb connection and the wor&inc+dent thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEPIANCE TO CONNECTIOIY •
After the initial connectiort has been made to the water service curb stop box or the sewer lead at the property line or a water servi�lead has
been extended to the property line for connection,the applicartt,owner,or occuparrt or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the�ty,tBe property owner shall be charged for the�aF the mairrtenance and/or
repairs.including necessary street repairs at a rate set annually by an administrative policy. it shatl be the responsibility o�f the appiicant,
owner,occupant or user to perform standard mair►tenance of the sewer service Iine from the premises to the main including debAs clearing or
root cutting and to maintain the water service curb stap box for operability and at such height as will ensure that it remains above the fin�shed
grade af the land or property. (Ref 638,1156,1191)