Meter Swap ,
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Request Number: 15066
PI1�C wOI�S DIV1S10II
Service Request
Problem Address: 101 Hartman Circle Requested By: Noah
Deputmeut: WATER Address: No address p�ovi�d
ProblemlIssue: INSTALL AMR ME1ER Phone Number: 651-592-'7529
Scheduled Date: 2017-05-03 �_1 Sc6ednied Time: 07:00:00
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ACITON NEEDED:
Wendy Hiatt Date Cres►ted: 2017-05-01
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Statns: �n Progress Submitter Has Becn r,
Cont�ted
Date Completed: L� ?��� Com�eted by: t ����
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' City of Fridley s� •� �"���
Water Department
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
�/We hereby authorize the City of Fridfey andior its employees to do what is necessary to
replace the water meter. l understand that the property owner is liable for the water line from the main to the premise and aff interior
ptumbing. (Per�ty code 402.06) I also hcid the City of Fridley and/its employees harmless for any damages that may oowr while doir�this
operation. This to include,but not limited to valves,ptping,walls.floors or the wrb stop box and service line. fn understand 1 am also required
to obtain a permit prior to any Mrork,if netessary.
FINAI METER READfNG(old m�tery � �� �
Name: 1�DU-�' Address `� ( ��I��GlY1 u,��C�e
Phone Number ��� � t pZ �" �J�� Date � J—l�
Signature Witness Signature ��
OLD METER# �� " �� � t (� �
OLD READING `�33 `3�.0
NEW METER# ���� ����
NEW READING v
ERT# �����o� � �
FltIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANfTARY SEWER
ADMINISTRATION
(Ref Ord No 113�464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of arry water of sewer line connecting the existing municipai system and any house or building for which the
application is made,the awner or contractor shali be required to obtain a permit for wch connection,and shaN pay a permit fee as provldal in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be eot�ed. lt 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�ty as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connedion has been made to tfie water service curb stop box or the sewer lead at the property line or a water service fead fias
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer fines necessary fior connection of the premises from the main to the pcemises. ff the property owner
requests maintenance service or repairs be performed by the City,tfie property owner shall be charged for the wsts ot the mai�rtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative potiry. It shall be tfie responsibil'rty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop 6ox for operability and at such height as witl ensure thai it remains above the flnished
grade of the land or property. (Ref 638,3156,1191)