Meter Swap - Request Number: 16252
Public Works Division
Service Request
Problem Address: 8182 East River Rd Requested By: Mike
Department: � WATER Address: No address provi�ed
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-432-4422
Scheduled Date: 2017-07-31 Sc6eduled 13me: 07:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Dsite Created: 2017-0'7-06
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been r.
Contacted
Date Completed: Completed by:
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< City of Fridley �-��r� f
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees 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 interior
plurnbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop boz and service line. In understand i am also required
to obtain a permit p�ior to any work,if necessary.
FINAL METER READING{oid meter) � ✓� �� W
Name� �`�V'L.� Address �.1�� GO�.�J� �W�
�1^ � � r
Phone Number NV� � �Date � �� 1�
�js�g��� J�' `" Witness Signature
OLD METER#��—1�V�/V I _
OLD READING���5���
NEW METER#_`�q�j���� �
NEW READING V
ERT# � ��� �� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Wo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to co�structing or repair of any water of sewer line connecting the existing municipal system a�d any house or buliding fo�which the
appiication is made,the owner or contractor shafl be required to obtain a permit for such connection,and shal(pay a permtt fee as provtded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. It shail be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECi70N
After the initial connection has been made to the water service curb stop boz or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicant,
owner,occupent or user to perForm standard maintenance 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 a�d at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)