Meter Swap l`y
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- Request Number: 12363
Public Works Division
5ervice Request
Problem Address: 7416 Co�erto Cur� Requested By: Jane Larson �
Department: WATER A�Ueas: No address provi�d
Problem/tssne: INSTAL.L AMR ME1ER Plwne Nnmber: 763-?17�3094
Se�eduledDate: 2016-12-13 � SchedaledTIme: 08:00:00
v,� �3 � �c�
ACIION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-12-06
A�t..'IION TAKEN:
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St��: In Progress 5abmitter Has Beea r
Couhcted
: Dxte Completed: 1'L� ��,� � �, Completed by: '
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City of Fridiey ��} ( �,�I �
. Water Department
6431 University.Avenue NE �j� _5(�-/ �dt���--
Fridley, MN 55432
763-572-3566
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I/we '�`^� �'"-`r��"'^ 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 all interior
plumbing. (Per City mde 402.06j I atso hold the City of Fridley and/its employees harmless fo�arty damages that may occur while doing this
operation, This to include,but not limited to vafves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � 1 � � ��
Name: �tr v�^� �f�ilrx*-'^—' Address ( ��(Q �!?'v�t� L+�'v'J`C._
Phone Number !�'�3 r I I / '�-�'" ��' Date 12 � +� �� 1�
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�•Signature � Witness Signature� �� �""'"""��
OLD METER# � � ��/ � �� �
OLD READING � 1 � I ��
NEW MEfER# �� �I �a��
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NEW READING �
ERT#����� � 5 � � *, L -
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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 constructing or repair of any water of sewer line connecting the existing municipal system and a�ry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for wch 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 shalt be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte 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 wr�ter service lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be Bable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the co�sts of ihe mair�tenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing 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 land or property. (Ref 638,1156,1191)