Meter Swap �, Request Number: 12741
.-
Public Works Division
Service Request
Problem A�resa: 7340 Concerto C;ur�e Requested By: Tom Zembel
Dep�rtmeut: WAZER Addreaa: No adc�ss pcovidcd
Problemllsaee: INSTALL AMR ME'IER Phoec Nnmber: 763•784-4103
Se�edule�Date: 201�-01-06 � Sc�edal�dllme: 01:00:00
� \
AC'lTON NEEDED:
Cre�ed by: ` Wendy Hiatt Date Created: 201�-Ol-OS
_ACTION TAKEN:
I� v����� �rv��
Statua: In Prog�ess Snbmitter Has Beea �.
Co�acted
Date Compieted: l r tp--L� Completed by: .
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�o�or rr�arey
Water�epartrnent �� � ���
6431 University Avenue N� ��l
Fridley,MAl 55432 '� a� _ �U��
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763-5723566
� �/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the wafier meter. t understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. {Per Gty sode 402.06) I also hold the C'rty 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,flooe�s or the curb stop box and service line. fn understand 6 am also required
to obtain a permit prior to any wor�c,if necessary.
FINAL METER READING(old meterJ �,� 1 ��J�
Name- ���1 �t��'e� Address ���U U��� [��v't/C �
Phone Number��� J 1 � 1 "� ���� pa� �— � —��
�----.
Signatu�" � � YVitness Signature
_ �,'
OLD I�IIETER# �/d ���
OLD READtNG ��� �� � d
NEWMETER#_�� � I VIJ� �
IUEW READING �
ERT# ��8g � 35 i �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191}
402.5 PERMIT FEE
Prior to wnstructing or repair of any water of sewer Cne cannecting the existing munizipal system and arry fiouse or building for which the
application 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 wcfi connection has been made,the Water and Sewer Department shaN be natified. it sfiail be unlawful to cover
arry connecting line until an inspection has been made and such connection and the worlc incident thereto has been aqproved by the City as a
proper and suitable connection. �
402.06 REPAIRS AND MAINTENAAICE TO CONNECTION
After the initial connectio�has been made to the water senrice arb stop box or the sewer lead at the property Itae or a water service lead t�as
been extended to the property(ine for connection,the applicarrt,owner,or accupant or user of such premises shaii be liabie for ell repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the prem"�ses. if the property owner
requests mairrtenance service o�repairs be performed by the C'rty,the property owner shaii be charged for the costs of the mafrrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shaii be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairitenance 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 fand o�property. {Ref 638,1156,1191J