Meter Swap � Request Number: 16054
Public works Division
Service Request
Problem Address: 7860 Alden Way Requested By: Pam
Department: WA1ER Address: No address provi�d
Problem/Issue: INSTALL AMR ME1ER Phone Number: 952-381-7329
Scheduled Date: 2017-06-20 Schednled 1imt: 08:00:00
..�-U� '`
AC7TON NEEDED:
Created by: Beth Ko�lrick D�te Crexted: 2017-06-19
ACTION TAI�N:
Status: In Progress 5ubmitter Aas Been r '
Co�acted
Date Compteted: Completed by:
�a� ` ��'�`� "��
� City of Fridley
� Water Department � � t��/�
b431 University Avenue NE
Fridley,MN 55432
763-5T2-356�
!/we ��� �✓r 'G'' C�� hereby authorize the Cty of Fridley and/or its employees to do what is necessary to
replace the water meter. t understa�d that the propecty owner is liable for tfie water line from the main to the premise and all irrterior
piumbing. (Per City code 402.06j I also hold the C'rty of Fridley and/its employees harmless far arn/damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FNVAL METER READING(o1d meterJ Y ����"�
Name• �,�� 'L �L"1.-�/1iv Address t/VA�' „!V�
Phone Number �,�1�����_����a� �`p./
Signature Witness Signature
OlD METER#_� �b Q I �� �p
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OLD READtNG ��7 � � (,>02� "
NEW METER# �7vZa�oZ-�Q
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NEW READING � ,
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FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM W�1TER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
.�a
Prior to constructing or repair of arry water of sewer line conneding the existing municipal system and ariy house or Iwtlding fnr which the
appfication is made,the ow�er or contractor shall be required to obtain a permit for such connection,and shaN pay a permit fee as provided fn
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be natified. It shail be unlawfui to cover
any connecting line urrtil an inspection has been made and such connection and the work inciderrt thereto has been approved 6y the City as a
proper and suitable connection.
402.06 REPAIRS AIVD MAtNTENANCE TO CONNECTtON
After the initial connectiort has been made to the water service wrb stop box or the sewer lead at the property tine or a water service lead has
been extended to the prvperty line for connection,the applicant,owner,or ocwpant or user of wch premises shall be 1[able for all repairs
required to arry water line and sewer lines necessary for connection of the premises from the main to the premises.,tF the�roperty owner
requests maintenance service or repairs be perFormed by the CFty,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary str�et repairs at a rate set annually by an administrative poticy. It shal!be tfie responsibitity aF the applicant,
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 mairrtai�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)