Meter Swap Request Number: 15427
.
Public Works Division
Service Req�st
�� Prablem Address: 124 Craig Way Requested By: Shauna Ward
,
�pArtmeat: WATER Address: No address provided
I'ioblemJTssue: INSTAL.L AMR METER Phone Numlxr: 612-272-3446
Scbeduled D�te: ,2017-OS-2 Sc6edaled 11me: 09:OU:00
. —�t
AC110N NEEDED:
' �` C�ted by: ` Wendy Hiatt Data Cres�ed: 2017-OS-18
�
ACIION TAKEN:
______.____.__�.��_.�l._.�d�.___w...__._.__.__..��-.'�-
Status: �pro�� Snbmitter Has Beea r.
Contacted �
Date Compf eted: ����, n � y Completed hy: :��
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City ot Fridley � ,/ � /(/
� Water Department � ��� ��
6431 University Avenue NE
Fridley,MN 55432
763-5723566
��We hereby authorize the City of Fridley end/vr its employees to do what is necessary to
rep{ace 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 code 402.06) i also hold the City of Fridley ar►dJits employees harmiess for arry damages that may occur while doing this
operation. This to inctude,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand 1 am alsa required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �✓'"� � � ���
Wame: _ J��-1 YLG. W� Address `�� �..r Q�,J W A�,L
Phone Nu r �..�L� `. �,�d���/!�Q pate �j "'�.� — L�
�ir�ure Witness Signature �'""
OLD MEI'ER# V �� (�9 � [ 0�-- ,
OLD READING � ` �� ��
NEW METER# y��� J � 1 �
NEW READING �
ERT# � � � � � � ��
�RIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AIVD SANITARY SEWER
ADMiN157RAT10N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERM17 FEE
Prior to constructing vr repair of any water of sewer line connecting the exist�ng municipal system and any haase or buiidin�for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall 6e notified. It shall be uolawfuf to cover
any connecting tine untif an inspecCion has been made and such connection and the work incident thereto has 6een approved by the qty as a
proper and suitable connection.
402.06 REPAIRS AIYD MAINTENANCE TO CONNECTIOM
After tfie initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service fead has
been extended to tfie property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for atl repairs
required to any water tine and sewer tines necessary for connection of the premises from the main to the premises. ff the properly owner
requests maintenance servtce or repairs be performed by the�ty,the property owner shal{be cfiarged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annuafiy by an administrative policy. It shail be the responsibility af the applicarit,
owner,occupant or user to perForm standard maintenance of tfie sewer service line from the premises to the main including debris dearing or
root cutting and to mair�tain the water service curb stop box for operability and at such height as wili ensure that it remains above the�nished
grade of the la�d or property. (Ref 638,1156,1191j
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