Meter Swap _ Request Number: 15074
Public Works Division
Service Request
Problem Address: 129 Hartman Circle Requested By: Jerald McDonald
Departme�: WA'lER Address: No address psovi�d �
Problem/Issue: INSTAL,L AMR ME1ER Phone Number:
Scheduled Date: 2017-OS-OS Scheduled'lZme: 11:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 201?-OS-01
ACIION TAKEN:
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Status: �pro�� Snbmitter Hn�Beon �., 1
Contxcted -
D�te Completed: � � 5 � `� Completed by: ��'
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City of Fridley �� �� ��
Water Department
6431 Universiiy Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and afl interior
piumbing. (Per City code 402.061 1 also hold the City of Fr9dley and/its employees harmless for any damages that may ocpu while doing this
operation. This to incfude,but not limited to valves,piping,walts,floors or the curb stop box and service line. In understand 1 am also required
to cbtain a permit prior to any work,if necessary.
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FINAL METER READING(oid meter) � �
Name: V�1� �('�(���� Address ��'1 �'��h ���
Phone fYumber p�e �` � '" � 6
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Signature �tneu Signature
OLD METER# � "� ��� ��
OLD READING � ��� G �
NEW METER# � i ��� � � �
NEW READING v
ERT# � � � � � ) i �
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STfJRM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Pcior to constructing ar repair of any water of sewer line connecting the existing municipal system and anY house or building for whkh the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shafi pay a permit fee as provided in
Chapter ii of this Code. Aftec such connection has been made,the Water and Sewer Department shall be notified. it shaii be unlawful to cover
any connecting line until an inspection has been made and such connection and the woric i�cident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTENANCE TO CONNEC7'ION
After the initial connection fias been made to the water senrice curb stop box or the sewer lead at the property iine or a water service lead has
been extended to the property line for connection,tfie applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premis,es. Ff the property owner
requests maintenance servlce or repairs be performed by the City,the properiy owner shait be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. tt sfiall be the responsibilJty of the appliqnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding deb�is clearing or
root 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 property. (Ref 638,1156,1191)