Meter Swap n Request Number: 15532
Public works Division
Service Request
Problem Address: 7880 Firwood�Jay Requested By: Kathy
Department: WA'IER Addreas: No a�lress provic�d
Problem/Issue: INSTALL AMIi ME1ER Phone Number: 612-801-114b
Scheduled Date: 2017-05-30 � Schednled 13me: 02:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Crested: 2017-05-24
ACTION TAI�N:
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_ _____.___..__.._....._..... .__.____._.__...(��.__ _..�-�- __.____ ._._..
5tatus: In Progress Sabmitter Has Been r,
Co��ted
Ihte Completed: � ��� Completed try: t
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�ity of Fridley � � � ��^ O
' Water Clepartevsent 1
. 6431 tlniversity Avenue NE
Fridley,MN 55432
763-572-3566
��`"�e hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace tfie water meter. 1 understand that the property owner is tiable for the waier line from the main to the�remise and ali irtteriar
piumbing. (Per City code 402.06) 1 a{so hold the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to indude,but not limited to valves.piping,walts,floors or the cur6 stop box and service line. In understand 1 am aiso required
to abtain a permit prior to any work,if necessary.
FINA!METER REAQING(oid meter) �� [ `r ��V
Name: �"Y.t.��j Address � � (l V ���kJ�� ��Y
Phone NumBer �Q���' �✓`�'�— �� `�Q p�� �' 3 v.— '�`7 ��
Si�nature ^�'
Witness Signature
OLD METER# � �
OLD READING � � ����V
NEW METER# �� 1�� / t U S
NEW READlNG �
ERT# `� � ,5 ✓ � ��
FRtDIEY CfTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
(Ref Ord No 113,�64,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
P�ior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shalt pay a perrnit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shati be notified. it shail 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 AA(D MAINTEAIAMCE TO CONNEC770N
After the initiai connectio�has been made to the water service curb stop box or the sewer lead at the property fine or a water service lead has
been sxtended to the property line for connection,the applicant,owner,or occuparit or user of such premises shall be liabte fo�alt repairs
required to any water line and sewer{ines necessary for connection of the premises from the main to the premises. tf tfie property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mairrtenance and/or
repairs,including necessary street repain at a rate set annuaUy by an administrative policy. It shal!be the responsibility of the appiicar�t,
owner,occupant or user to perForm standard mairitenance of the sewer service tine from the premises to the main including debris clearing or
root cutting and to mair�tain the water service curb stop box for operability and at such height as wi8 ensure that it remains above the finished
grade af the fand or property. (Ref 638,1156,1191)