Meter Swap �
Request Number: 12510
Public Works Division
Service Request
Problem Address: 7301 Cox�erto Cur� Requested By: Kim Dn�m
Dep�rtme�: WA'IER Adde�eaa: 7301 Coacerto G'urve
Fridley,MN 55�32
Problem/Is:ue: INSTALL ANIR METER Pho�Namber: 612-98?-3961
Scheduled te: 2016-12-22 �Sc6edaled 1lme: Ol:00:00
C ��
ACTION NEEDED:1ffitall t�MR
Created by: Beth Kondrick Date Cre�ed: 2016-12-19
ACTTON TAI�N•
� �� �` �� � �� �
Stxtus: In Progress ���er Haa Been �,
Contsieted
Date Completedc Compieted by:
� Z— 2-�-- �� ��
City of Fridley � � I��•�
Water Department
, ` 6431 University Avenue NE 3 G�y�s�`�S 3 C���
Fridley,MN 55432
763-5723566
�/We hereby authorize the City af Fridfey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the C'�ty of Fridley andJits employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walls,ffoors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if oecessary.
FINAL METER READiN oid meter) �1�'�2�5 C�
Name: 1�'�� m ��J Y1^ Address �� I Y�.Q.`� W�(V�
� � �
Phone Number �'l�� �y���✓ 1�� p� I�� � v ' �J
� �""'..�._, ...
�Signature -�`�-----^ �tness Signature ��_
OLD METER# 1 � ���� � �
OLD READING 1 ��Z�
NEW METER# `'I� � I ���O �
NEW READING �
ERT# ���5� 3�5 �
FRlDLEY C{TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIOAI
(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 waxer of sewer line connecting the existing municipal system and arry house or buildtr�for which the
application is made,the owner or comrector shall be requ�red to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shall be unlawful to cover
any connecting line untii an inspection has been made and such connedion and the work incident thereto has been approved by the Cily as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service arb 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 appiicant,owner,or occupaM or user of such premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged fo�the costs of the mai�enance and/or
repairs,including�ecessary street repairs at a rate set annually by an administrative policy. It shali be the responstbility of the applicaM,
owner,oaupant 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 fo�operability and at such height as wili ensure that it remains above the�inished
grade of the land or property. (Ref 638,1156,1191)