Meter Swap ' Request Number: 15419
Public works Division
Service Request
Problem Address: 7600 East Rirer Rd Requested By: Jon McGinn
Department: WA1ER Address: No adchess provided
Problem/L�sue: INSTALL AMR ME1F1t Phone Nnmber: 763-571-1155
Schettuled Date: 2017-OS-23 Schednled'Iime: 10:30:00
r� (C�: 3
AC'TION NEEDED:
Created by: Beth Kom�rick Date Created: 2017-05-17
ACTION TAI�N:
....�`.'_�5.��"v.`.\__,�__._...�`._._."_�_. ._____ _._._____.�__ _.
Status: In Progess Sabmitter Has Been r,
Contacted
Dste Completed: Completed by:
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City of Fridley
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. Water Departrnent � �C
6431 University Avenue NE � .� (,� lS
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley 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 interior
plumbing. (Per City code 402.06) i also hold the City of Fridiey 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 box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FiNAI METER READING(old meter) /�v ��
Name• �.J V� v—WV1�r �� qddress O � �VCr �r�.
Phone Number f������ �� p� �—��` �,�
Signature Witness Signature
OLD METER# � 3� ��
--o
OLD READING !��� t.� C��
NEW METER#_`► �'ZZ�- 1 � �
NEW READING O
ERT# � �����v J
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
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
appiication 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 notfied. It shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident tfiereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user af wch premises shail 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 owner
requests maintenance service or repairs be performed 6y the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operabil"ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)