Meter Swap , � Request Number: 15452
Pablic Works Division
Service Request
Problem Address: 215 Craigbrook Way Requested By: Ross and Angela Felsl�im
Department: WA'IER, Addresa: No address provi�d
Problero/lssue: INSTALL AMR ME'IER Phone Number: 612-462-7388
Schedaled Date: 2017-OS-24 5chednled 1lme: 07:30:00
p `� `�30
ACTTON NEEDED:
Created by: Beth Kom�rick D�te Created: 2017-05-18
ACIION TAI�N:
.................I__�:�._.�._`1_...._.._.�.�-..�_ ._.......�..____._._ ..__ ____
Status: �n Progess Snbmitter Hss Been r
Coirtacted
Date Completed: Completed by:
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City of Fridley � �f f % �
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Water Department
6431 UniversityAvenue NE ��� ��� �
Fridley, MN 55432
763-572-3566
��`^�e he�eby authorize the C�ty of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 understa�d that the property owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) I also hold the C'rty of Fridley andrts empioyees harmless for any damages that may ocar while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop boz and service line. in undentand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIPf6(old meterj � ��� � �
Name• �� Address �C� �� ��
Phone Number ����� �J�v�p�e_�'� V�,-� `
Signature Witness Signature
OLD METER# � �� U �O�
� , t ^� �Jj'� — Sna�h� �C �� � �.
OLD READING � � �'�I 1 L�'�
NEW METER# `�""� L��� �- 1
NEW READING �
ERT# � Z3��,��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIOPI
(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 arry water of sewer line coanecting the existing municipal system and arry house or lwilding for which the
application is made,the owner or contractor shail be required 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 shall 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�ty 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 pro�rty 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 all repairs
required to any water Ilne and sewer lines necessary for wnnection 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 shall be charged for the costs of the mairrtenance and/o�
repairs.including necessary street repairs at a rate set annually by an adrninistrative policy. It shall be the responsibility of the applic�nt,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main induding 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)