Meter Swap �r' . Request Numl�ro 12779
1
�1C wOTk3 DIVISIOII
Service Request
ProWem Address: 7627 Central Ave Requeated By: Kathleen Steed
Depsrtment: WA'IER Address; No address provided
Probtem/Iseae: INSTAL,L AMR METER Phone Number: 783-8671 •
Schedt�ledUate: 2017-Oi-10 SchcdsledTl�: U7:30:00 �
� t
ACIION NEEDED:
Crexted by: We�y Hiatt Date Cre�ed: 201?-01-09
AC110N TAKEN:
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Statna: In Pro ss Snbmitter Has Beee �, ,�'�' �
� Coata�c.ted
Date Completad: �,-" l(�"' �,� Cempleted by:
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City of Fridley
� Water Department
, � 6431 University Avenue NE
Fridley, MN 55432 C�, I G � g
763-572-3566 J �
I/we hereby authorize the City of Fridley and/or its employees 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 att interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing 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 aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READiNG(oid meter) � �O � S ��
Name: ����1�� ��� Address �`��� � J �V\ "�'
Phone Number ��� � �� ` ' D � � l v — ` �
�4j�nature Wkness Signature _'_
OLD METER# ���� S ��J�
OLD REQDING� lt1l,�O l,��C�
NEW METER# �� l' ��`���
NEW READING �
ERT# �9� `���" ��
FRIDLEY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(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 line wnnecting the existing municipal system and any house or building for whicM the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a pertnit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be untawful to co�r
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 suitabie 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 properly line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ali�epairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. 1f the property owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to pe�form sta�dard maintenance of the sewer service fine from the premises to the main induding 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 Fnished
grade of the land or property. (Ref 638,1156,1191)