Meter Swap � Request Number: 15479
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Public Works Division �
Service Request
Problem Address: 170 Craig Way Requested By: Leslie'lliorp
Department: WATER Address: No address provided
Problero/jssue: INSTALL AMR ME1ER Phone Nnmber: 612-?02-1244
Schednled Date: 201?-OS-24 Scbcdelcd 1Ime: 10:30:Oq
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ACTION NEEDED:
Crented by: Beth Ko�rick Dste Created: 2017-OS-19
AC1iON TAI�N:
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Status: In Progress Snbmttter H�Been �
Co�uted
Date Completed: Completed by:
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City of Fridley
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Water Departrnent � ��I�
' 6431 University Avenue NE � 1
Fridley,MN 55432
763-572-3566
t/uve heseby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is fiab{e for the water line from the main to the premise and alf irrterior
plum6ing. {Per City code 402.06) I aiso hold the City of Fridiey and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but nat limited to valves,piping,walts,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FlNAL METER READING(old meter) � `-"-' � ��
Name: �,��j�l� �1 �� � �
Address
Phone Number�1 V��� 4'(�"I� Date ���� 1�
SignaCure IAI'rtness Signature
OLD METER# - ` � �� t� � �
OLD READIMG ��J ��J
NEW METER# � tZ���' "—��
NEW READING �
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ERtD1.EY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,I144,1156,1191�
402.5 PERMIT FEE
Prioc to constructing or repair of any water of sewer line connecting the existing municlpal system and any house or buiiding for which the
application is made,the owner or co�tredor shall be required to obtain a permit for such connection,and shall pay a permtt fee as provided in
Chapter 11 of this Cade. After such connection has been made,the Water and Sewer Department shalt be not�ed. It shall be unlawfui to cover
any co�necting line untii an inspection has been made and such connection and the work incident thereto has beet�approved by the City as a
Qroper and suitable connection.
402.06 REPAlRS AND IWAt1YTEfYANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly fine or a water se�vice tead fias
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be liabte for all repairs
required to any water line and sewer lines necessary for wnnectio�of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the�ty,the properCy owner shall be charged for the costs of the matntenance and/or
repairs,inciuding necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the flnished
grade ofi the land or property. (Ref 638,115fi,1191)