Meter Swap �
� Request Number: 15191
Public Works Division
Service Request
Problem Address: 7335 East Ri�er Rd Requested By: Sa�3ra
Deputment: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phu�Nu�pi�r: 571-4758
Scheduled Dste: 2017-06-OS Sc6edWed 11�qe: 08:OQ:Of1
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Created by: Wendy Hi�t Dsite Crestcd: 2017•OS-Q8
ACTION TAKEN: +
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Status: In Progress Sabmitter Hs�s Bcen r
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City of Fridiey
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/we hereby authorize the City of Fridley andjor its employees t4 do what is necessary to
repiace the water meter. f understand that the property owner is liable for the water line from the maln to the premise and ali interior
plumhing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocsur while doing this
operation. This to include,but not fimited to vafves,piping,walls,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � `� � `����
Mame: �1nL��il Address � ��� ���J� 1�^��Z-°� V`�-� .
Phone Num !� � � 1 �� Date v� � � r � l
Signature WRness Signature
OLD METER# �� ✓ �� � J
OLD READING � i y � ��
NEW METER# '�qa�. c��a 3
NEW READING �
ERT#_ �� �� / � � �(j
FRIDLEY CITY CODE
CHAPTER 402.WATER,5TORM WATER ANO SANITARY SEWER
ADMINISTRATIQN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water aF sewer line connecting the ezisting municipal system and any house or building for which the
applicatio�is made,the owner or contractor shali be required to obtai�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 shail be notifled. It shall be unlawful to cove�
any connecting line unti!an inspection has been made and such connectio�and the work incident thereto has been appro�d by the City as a
proper and suitable co�nection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOM
After the initiai connection has been made to the water service curb stop box 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 occupant or user of such premises shall be fiabie 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 a�vner
requests maintenance service or repairs be perFormed by the City,the property owner shall be ch�rged for the costs of the maintenance and/or
repairs,induding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarK,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debrys clearing or
root cutting and to maintain the water senrice curb stop box far operabitity and at such height as will ensure that it remains above the finished
grade of tfie land or property. (Ref 638,1156,1191)