Meter Swap �
' Request Number: 15407
Public works Division
Service Recryest
Problem Addresa: 290 Craigbrook Way Requested By: Ms.Gross
Department: WATER Address: No address provided
Problem/lasue: INSTALL AMR ME1ER Phone Number: 763-571-0591
Scheduled Date: 2017-OS-22 Schednied 1lme: 11:30:00
1
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 201'7-05-17
ACIION TAI�N: �
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Status: In Pro�ess Snbmitter Has Been r
Contacted
Date Compieted: Completed by:
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� City of Fridley `jo� `�C ��,�
- Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
VWe hereby authorize the City of Fridley and/or its empioyees 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 interyor
plumbing. (Per City code 402.06) I atso hoW the City aE Fridley and/its emplc�ees harmless for any damages Mat may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a perm�t prior to any work,if necessary.
FINAL METER READING(old meterJ ��� '�
Mame:��. ��6�j� Address ���
Phone Number L�� ����(J� Date_�� ��� v�
Signature Witness Signature
OLD MfTER# — l �� li V " � ��
OLD READING Z��� r�
NEW METER# `t������
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
appiication is made,the owner or contractor shali be required to obtain a permit for such connedion,and shall pay a pertnit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shali 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 suitable connection.
402.05 REPAfRS AND MAINTENANCE TO CONNEC170N
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water seroice lead has
been eztended to the property line for connection,the applicarrt,owner,or occupaM or user of such premises shall be liabie for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the p�emtses. ff the properky owner
requests maintenance service or repairs be perFormed by the City,the properCy owner sfiaif be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises Co the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operabllity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)