Meter Swap � Request Number: 15120
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Public Works Division
Service Request
Problem Address: 6951 East Ri�r Rd Requested By: Bl�a
Departma�: WATER Address: • No address prc�vided
Problem/iasue: INSTALL AMR ME1ER Phone Number: S'74-7461
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Schednled D��17-OS-08 Schednled 1lme: 07:00:00
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ACIION NEEDED:
, Created by: We�y Hiatt D�te Crc�ed: 201?-OS-03
ACIION TAI�N:
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Status: In Progress Sabmitter Has Been r,
Contacted
Date Completed: f, ,_.� � 'V] Completed by: Jak�
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
VWe hereby aathori:e the City o�f F�idley and/or its employees 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 ir�terior
plumbing. (Per City code 402.06j I also hold the City of Fridley and/its employees harmless for arry damages that may oc.cvr while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_ I� � �� � O
Name•�?��L� Address �-[ �' �� �l`V'G�'' � ,
Phone Number 'J� t � ��l�1 Date �'- v ~ ��
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Signature Witness Signature
OLD METER# �� � ���� I
OLD READING
1� � Co��.0 �
NEW METER# �V I V � � ` �
NEW READING O
ERT# _ � � � ��� �3
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
40Z.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notffied. It shall be unlawful to cover
a�y connecting line untii an inspection has been made and such�nnection and the work incldent thereto has been approved by the C�ty as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the propeRy line or a water servic�tead has
been extended to the property line for connection,the applicant,owner,or occupant 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. If the property oarner
requests mai�tenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)