Meter Swap � Request Number: 15548
Public Works Division
Service Request
Problem Address: 7598 Alden Way Requested By: Kathleen Toner
Department: WA1ER Addreas: No address provided
Problem/Issue: INSTALL AMR ME'IF.R Phone Number: 763-574-0401
Scheduled Date:r_2017-OS-30 Schednled 1ime: 10:30:00
� ��-r� .3�
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-24
ACTTON TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by: �
5= 3�- I `� � Co �
� City o#Fridl2y ✓�l ` � ` �0 � � � I
• Water Departa�o�►ent G
6431 University Avenue NE 5� � �ZO �
Fridley, MN 55432
lf 3-572-3566
��°�e hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to the premise and all irrterior
plurnbing. (Per Crty code 402.06) i also hold the City af Fridley and�ts employees harmless for any damages that may occur whil¢doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop boz and service line. In understand 1 am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READiNC{oid meter) ���� ""�
Name: d Address 1���� � ��.Q
Pho�e Number `� � �� p�@ �'"�O''�
�Si�e Witness Signature
OLD METfR# `i �T`7 � � i �
OLD READiNG � �� 'U 1 �J �
NEW METER# �� �� `W Z�
NEW READING �
ERT# � �������
�RIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord NO 113,464,565,566,629,638,662,922,988,i144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry hause or bu4Wing for which the
app4ication is made,the owner or contractor shall be required to obtain a permit fo�such connection,and shal{pay a permi#fee as provided in
Chapter 11 of Lhis Code. After such connection has been made,the Water and Sewer Departmerrt shafl 6e not�ed. it shatl be unlawful to cover
any connecting line unti!an inspection has beert made and such cannection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.a6 REPAIRS AA(D MAINTENANCE 70 CONNECTIORI
After tfie initiai connection has been made to the water senrice curb stop box or the sewer iead at the property tine or a water senrice lead has
been extended to the properry line for connectio�,the app(icant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connectioR of the premises from the main to the premises. Ff the property owner
requests mai�tenance service or repairs be performed by the City,the property awner shall be charged for the costs of the mai�tenance and/o�
repairs,including necessary street repairs at a rate set annual(y by an administrative policy. It shall be the responsibility of the appticam,
owner,occupant or user to perform standard mairrtenance of the sewer service tine from tfie premises to the mai�including debris ciearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191J