Meter Swap �
.
Request Number: 16140
Public works Division
Service Request
Problem Aeddress: 7844 Firwood Vi�ay Reqaested By: Kelly Veit
Depsrtment: WA1ER Addreaa: No address provided
Problem/Issue: INSTAL.L AMR METER Phone Number: 612-588-5133
Sched�tled Date: 2017-06- 8 5chedaled 1lma: 07:00:00
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ACIION NEEDED:
Crented by: Weixiy Hiartt Daite Cre�ed: 2017-06-26
ACITON TAi�N:� I I G � � �
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Status: In Progress Sabmitter Has Been �.,
Contaeted
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Date Completed: Completed by: ���
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City of Fridley � ` ` ""
Water Departrnent
6431 University Avenue NE
�ridley,MN 55432
753-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is�ecessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbiag. {Per City code 402.06} I also hold the City of Fridley and/its employees harmless for any damages that may ocuir 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,ifi necessary.
FINAL METER READING(old meter) � I � I � ��
Name• iL'�.�lU ��l� Address � `� s �1 L��'j�
Phone Number �i��'^ �(J�—� � J� p�. � ' � �-- ��
Signature�!/ Witness Signature "'_.
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OLD METER# �J �� "`
OLD READfNG � LV! �� t � "`� S�O��'Jl�I C�-tT�i{� t/�E�'�I'� � ��'''F`�
NEW METER# �'�, _` � 2-�Z ! �
NEW READING �
ERT# ���� ` � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AIYD SANITARY SEWER
ADMINIS7RATION
(Ref Ord No 113,464,565,566,629;�38,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer iine connecting the existing municipal system and any house or buitding for which the
appiication is made,the owner or contractor shall be requised to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shalt be notified. ft sha{I be untavvful 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 MAINTENAIVCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property(ine or a water service tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be ITaf�le 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 maintsnance service or repairs be performed by the City,the property owner shail be ch�rged for ihe costs of the maintenance and/or
repairs,including necessary street repairs at a rate sQt annually by an administrative poliry. it shali be the responsibility af the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line trom the premises to the main including debris cleari�g or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. �Ref 638,1156,1191)
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