Meter Swap ` Request Number: 14987
Public Works Division
Service Request
Problem Address: 7029 East Rivei Rd Requested By: Miriam
Depsirtme�: WATER Address: No ad�ess provided
Problem/�ssue: MALFUNCTIONING METER Phone Nnmber: 571-6531
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Scheduled Date: 2017-04-28 Se�edaled 1lme: 10:00:00
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t r -� �
ACIION NEEDED:
Created by: Wendy Hiatt DaEe Created: 2017-04-27
ACTION TAI�N:
___.__�....�::�„��:�,e_�_..._._....._. 1�1�- W �-1''"�,,..:1�-._.._._.�l^��-e�',
5tatua: In Progress Sabmitter H�Been �
Contacted
Date Completed: Completed by:
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s City of Fridley ���—�����(
Water Department /),''1 S�
6431 University Avenue NE (�{I� �l
Fridley,MN 55432 ��
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is�ecessary 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
plumbing. (Per City code 402.06) I atso hold the City of Fridley and/its employees harmless for ar�y damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the wrb stop box and service line. I�understand i am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name• Address ��� �/Gl�y-�iL 1��
Phone Number Date_ ��'')1
Signature Witness Signature
OLD METER#_ 1 � �� l 3 U � _. - —--
_ _ __
OLD READING � �I (�� � ��
-�
' 48907538
NEW METER# ___ _ _
NEW READING Y�
ERT# � � � 1 v �� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMff FEE
Prior to constructing or repair of any water of sewer line connecti�g the existing municipal system and any house or fwilding for which the
application is made,the owner or contractor 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 shall be notified. It shall be unlawFul to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by tfie City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrtce curb stop box or the sewer lead at the property line or a water service lead has
beert extended to the property line for connection,the applicant,owner,or acupant 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 mairrtenance service or repairs be performed by the Cit}►,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,i�cluding necessary street repairs at a rate set annualiy by an administrative poliry, it shall be the responsibiflty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris deari�g o�
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that n remains above the finished
grade of the land or property. (Ref 638,1156,1191J