Meter Swap � Request Number: 16064
C
Pl1�lC wOYkS DIV1SlOri
Service Request
Problem�kkidress: 641 Dover St Requested By: Davvn Marth
Department: WA'IER Address: No address provided
Problemllssue: INSTALL AMR ME1ER Phone Number: 763-301-8485
SchedWed s • 201 -06-21 hednledlime: 08:00:00
� S�-
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-20
ACTION TAI�N:
__.._..���.���____._�t►�- __
Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: Completed by:
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�ity of Fridley
� Water Department s� � (�7�8
. 6431 University Avenue NE
Fridley, MN 55432
763-572-3565
I/we hereby authorize the City of Fridley and/or its empioyees 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 irrterior
piumbing. (Per City code 402.06) 1 also hold the Cty of Fridley andrts employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,pipin�walls,floors or the curb stop box and service line. in unden�tand i am aiso required
to obtain a permit prior to arry work,if necessary.
FINAL METER READ{N6(pId meterj I //L � �D
Name• � � `r`^ Address ��� ��
Phone IYumber L�V�`��^ � p� ''�� "' �
�Signature �,Ja� l Witness Signature
0
OLD METER# "1 ��J �"1� �
OLD READING ������ � �
NEW NifTER# ���,��Cp� 1�
NEW READING�
� ��� �� 13 � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,66Z,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repatr of arry water of sewer line connecting the existing municipal system and any house or buitding for which the
appiication is made,the owner or contrador shall!�e required to obtain a permit for such ccnnection,and sha8 pay a permit fee as provided in
Chapter il of this Code. After such connection has 6een made,the Water and Sewer Oepartment shall be notified. It shatl be unlaarful to cover
any connecting�ine until an inspection has been made and such connection and the work inadent thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENAPICE TO CONNECTION
After the initia!cortnectiort has been made to the water service curb stop�ax or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the appiicant,owner,or occupant ar user of such premises shall be Ifable for ail repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. if the property owner
requests mainte�ance service or repairs be perFormed by the Gty,the properry owner shall be charged for the cosis of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
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 operabili#y and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)