Meter Swap � Request Number: 15203
Public Works Division
Service Request
' Problem Address: 71 l9 Ashton A�e Requested By: Priscilla
Departmeet: WATER A�ireaa: No ad�ess provided
Problem/Iasue: INSTALL AMR ME1ER Phone Number: 571-3339
Schednled ns� 2017-OS-09 � Sc6edaled'Ijme: 08:30:00
C�`�
AG7ION NEEDED:
Gre��l by: Wendy Hiatt Dste Cre�ed: 201 T-OS-08
ACIIOI��N:
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Status: In Progress Sabmittcr Haa Been �,
Co�acted
Dnte Comptated: Completed by: �
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City of Fridley
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby author4ze the City of Fridley and/or its empfoyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerio�
plumbing. (Per City code 442.06) i aiso hold the Cty of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to lnclude,but not limited to vaives,piping,walts,floors or the curb stop box and seMce line. In unden�tand 1 am also requtred
to obtain a permit prio�to any work,if necessary,
FINAI.METER READING(old meter) v� � �V ��
. r r C� `_
Name• ��' l S(�{. t, fn- Address � � t l �I'��1^ �"C.
Pho�e Number �� � - 33`'��1 pate 5" ! " ��
Signature �tness Signature
OLD METER#_ _��v y�L�J�
OLD READlNG � �� ��O
NEW METER# � `�o �� l�
NEW READING v
ERT# ���� ! I CJ�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to cflnstructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whkh the
appiication Is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial 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 applicant,owner,or occupant or user af such premises shall be liabie for all repairs
required to any water line and sewer lines nec+essary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shali 6e charged for th¢aosts of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set a��ually by an administrative poliry. It shall be the responslbllity of the applicant,
owner,occupant or user tu perForm standard mairrtenance of the sewer service line from the premtses to the main including debcis clearing or
root cutting and to mairrtain the water service curb stop box for operability and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)