Meter Swap T
. Request Number: 14335
Public Works Division
Service Request
Problem Address: 1420 Fireside Dr Requested By: Ms Shoberg
Department: WATER Address: No address provided
ProWem/Iasue: INSTALL AMR ME'IER Phone Number: 763-786-5658
Scheduled Tlate: 201?-04-06 Schedaled 1lme: 09:00:00
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ACIION NEEDED:
Created by: Wendy Hiakt Dute Created: 2017-03-2'7
AClION TA[�N:
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Status: In Progress Snbmitter Hns Been r
Contacted
D�►te Completed: Completed by:
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� City of Fridley �� �� � �
Water Department �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
l/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. f understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the Cty of Fridley and/its employees harmless for any damages that ma1r ocau while doing this
operation. This to indude,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 arry work,if necessary.
FINAL METER READING(old meter) ���� � �
Name: �• ��1 V,���� Address � � 1�V �t�'vo`�yC�- �--
Phone Number��r)���`� ���� Date �—'��' ��
Signature Witness Signature
OLD METER# � � � � � � v� �/ ���� b��
OLD READING E>`r✓ �� I• �
NEW METER# "t� `� �-"�D�
NEW READING �
E�# � 2�Z���S�
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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 arry water of sewe�li�e�nnecting the existing municipai system and any house or buiiding for whkh the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shali paq a permlt fee as provided in
Chapter 11 of this Code. After such connedio�has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connettion has been made to tfie water service curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,tfie applicant,owner,or occupant or user of wch premises shall be Ifable for all repairs
required to any water line and sewer{ines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the Cty,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set a�nually by an administrative poliry. It shall be the responsibility of the applipM,
owner,occupant or user to perform standard maintenance of the sewer service li�e from the premises to the main including debris ckaring or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that k remains above the finished
grade of the land or property. (Ref 638,1156,1191)