Meter Swap �
' Request Number: 15221
Public Works Division
Service Request
Problem Address: 7065 Fast River Rd Requested By: William P�1
Department: WATER Addresg: No address provided
ProblemiIssue: INSTALL AMR ME'lER P��Number; 571-1487
Scheduled DAte:�._...2Q 1�-OS-09 Sc6eduletlllme: 08:00:00
�/CV � �► r 1
AG7ION NEEDED:
Created by; Wendy Hiatt Dat�Created: 2417-OS-08
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A�,'IION TA1�N:
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Submitter Hns Been �`" �.
Statu�s: In Pro�rress Contaeted �
Date Completed: �,�_ �� Completed by: � , � �
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+ City of Fridley �D-� ����
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the C"ity of Fridiey andjor tts employees to do what is necessary to
replace the water meter. 1 understand that ihe property owner is liable for the water line trom the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridfey and/tts employees harm{ess for arry damages that may oaur while doing this
operation. This to include,but not limited to vaives,piping,walis,Noor�s or the wrb stop box and service line. In understand I am aiso required
to obtain a permit prtor to any work,if necessary.
FlNAL METER READING(oid meterj � � � � O�-"
Name: w 6 l 1 da IM ��t Address L v U�� G�`�� � �-�1,��-�' �`.
Phone Number__ J ! � � ��lJ + Date � r ` — ��
Signature Witness Signature —�
OLD METER# � � �v C (
OLD READtNG '" �� ` � �
NEW METER# ��OC U�d -I�
NEW READING v
ERT# ` �O�-�{ �p�, V �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATiON
(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 connetting the existing municipai system and any house or building for which the
appfication is made,the owner or contractor shail be required to obtain a permit for such connection,and sha{I pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmem shall be notified. It shatl be unlawful to cover
any connecting li�e until an inspection has been made and such wnnection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.d6 REPAiRS AND MAIPlTENANCE TO C0111MECTION
After the init�al connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice leasl has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be IiaWe for alf repairs
required to any water line and sewer fines necessary for conneetion of the premises from the main to the premises. ff the property oxrner
�equests maintenance service or repairs be perfvrmed 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 annualiy by an administrative poliry. It shall be the responsibility of the appiicar�t,
owner,occupant or user to perform standard maiMena�ce of the sewer service line from the premises to the main induding debris cleari�or
root cutting and to maintain the water service wrb stop box for operability and at wch height as will ensure that it remairts above the�nished
grade of the land or proqe►ty. {Ref 635,1156,1191)
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