Meter Swap Request Number: 15402
' Pubfic Works Division
Service Request
Problem Address: 7829 Alden Way Requested By: Sangye
Departmeut: WATER Address: No a�ess�ovided
Problem/Issue: INSTALL AMR ME'1FR Phone Number: 763-571-3628
Scheduled Date: 2017-OS-18 Scheduled T1me: 10:30:00
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ACIION NEEDED:
,� Created by: Beth Kondrick Date Created: 201?-OS-11
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ACIION TAI�N:
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Status: In Progress Snbmitter Haa Been r
Cantacted
D�te Completed: �� �(�^ l�y Completed by: _ \ a��
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City of Fridley � � ����
Water Departrnent
t O 6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is fiabie fo�the water line from the main to the premise and all iMerior
piumbing. (Per City code 402.05) f also hold the City af Fridley and/iu employees harmless for any damages that may occur white daing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am alsfl reguired
to obtain a permit prior to any wortc,ff necessary.
FINAL METER READING{old meterj ��� ��`�'
Name•_ -�C�`�i�/L Address _ ` j�� y ���°�- �� .
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Phone Number � ��� � { �y vt��� p� � � ��'—' �Z
Signature Witness Signature �'
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OLD METER# ��� `����
OLD READING ��7 {�C� ,�
NEW METER# � I dY��� ��
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NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANI7ARY SEWER
ADMINISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer tine connecting the existing municipai system and any house or buildin�for which the
application is made,the awner ar contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such cannection has been made,the Water and Sewer Departmerrt shall be not�ed. ft shail be unlawful to cove�
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECI"ION
After the initial connection has been made to the water service wrb stop box or tfie sewer lead at the property line or a water service iead has
been eutended to the property line for conriection,the applicant,owner,or occupaM or user of such premises shall be liable for all repairs
required to any 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 CFty,the property owner shall be charged for the c�ts of the maintenance and/or
repairs,intluding necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility af the applicae�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing 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 638,1156,1191j