Meter Swap ° Request Number: 15412
Public wori�s Division
Service Request
Problem Address: 6931 East Ri�r Road Requested By: Janice
Department: WATER Address: No address provided
ProWem/Issne: INSTALL�MR METER Phone Number: 763-571-1485
� 5cheduled Date: 2017-06-01 5chednled'Iime: 02:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Dsite Created: 20I7-OS-17
AC7ION TAi�N:
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Status: In Progress Submitter Has Been r
Coirts�cted
Date Completed: Completed by:
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� City of Fridley �� �
" Water Department �2 (�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridtey 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(ine from the main to tF�e premise and a(1 iriterior
plumbing. (Per Cityt code 402.06) 1 aiso hold the City of Fridley and/its employees harmless for any damages that may accur while doing this
operation. This to include,but not limited to vah►es,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) � � ��� �O
Name.s.d1��V�� Address '"ti '"�(� �
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LD METER# � ��Z� "I 2-
OLD READING `�J ��—1 �V
NEW METER# �" 4��� �� ��
NEW READING�
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
AOMiNtSTRATtON
(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 ar�y house or building for which the
application is made,the owner or coritractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shalt be not�ed. it sf►al(be uniawfui to cove�
any wnnecting line unti!an inspectian has been made and such connection and the work incident there#o has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COWNECTION
After the i»itial connection has been made to the water senrice wrb stop box or the sewer lead at the property line or a water serotoe lead 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. ff the property owner
requests maintenance service or repairs be performed by the C"ity,the property owner shalt be charged for tFie costs of the maintenance and/o�
repairs,including necessary street repairs at a rate set annaapy by an administrative policy. It shal!be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of tfie sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)