Meter Swap .
.
Request Number: 16133
Pubtic Works Division
Service Req�est
Problem Address: S30 Ely St Requested By: Irwin Rey�lds
DepArtment: WATER Address: No address�ovided
Problem/Issut: IN5TALI.AMR ME1ER Phone Number: 763-780-1249
Sc�edWed Dste: 2017-06-27 5chedaled 1lme: 08:30:00
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AG'IIOl�NEEDT�1:
Created by: Wendy Hiatt D�ite Created: 2017-06-26 � �"
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ACTION TAI�N:
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Status: In Progress Submitter Has Been r,
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City of Fridley �C"' � �����
Water Departrnent
6431 University Avenue NE
Fridfey,MN 55432
763-572-3566
I/we hereby authorize the Crty of Fridley and/or its employees to do what is necessary to
repiace the water meter. i understand that the property owner is liable for the water line from the main to the premise and ali iriterior
plurnbing. {Per City code 4�2.06} 1 also hold the C'rty 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,waits,floors or the curb stop box and service line. in understand 1 am also required
to abtain a permit prior to any work,if necessary.
FINAL METER R 1 �����
EAD NG(old meter)
Name: ��I�I'1 i^'Qiyh�c s Address V� ✓7"'•
Phone IYumber '"� V ��V` -( Date l..e '� �� `� � /
�ignature • Witness Signature
OLD METER# ��✓ �� d V�
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OLD READiNG G���"V 1 �
NEW METER# � i����"C g �
NEW READtNG �
ERT# � �P'v"�f�V�
FRIDLEY CITY CODE
CHAPTER 40Z.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 repai�of any water of sewer line wnnecting the existing municipaf system and any house or building for which the
application is made,the owner or contrador shail be required to obtain a perneit for such connection,and shafl 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 nottfied. It shall be unlawful to c�ver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTERIANCE 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 Ilne for connection,the applicaM,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water tine and sewer{ines necessary for connection of the premises from the main to the premises. If the property avner
requests mairrtenance service or repairs be performed by the City,the properly owner shaN be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annualiy by an administrative policy. It shall be the responsibility of the appticarrt,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
r�t cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or prope�ty. (Ref 638,1156,1191)