Meter Swap y f
` Request Number: 12852
Public Works Division
Service Request
Problem Addreas: 7507 Hayes St Reqnested By: Don Park
Depsrtmeut: WA'IER Addresa; No wldreBs provided
ProMemllsane: INSTALL AMR METER Piane Num�er: 763-786-5687
Schednled Date: 2017-01-1'7 3c6edeled 11me: 14:00:00
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ACIION NEEDED:
Createdby: WendyHiatt D�eCreated: 2017-01-13
ON TAKF',,l�T:
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1 �'�� � � �
St�us: In Progress Srbmitter Ha�Bee� �
Ca�acted
i�te Cempleted: Complated by: /�
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� City of Fridley
' Water Department � �c�� ���
' 6431 University Avenue NE ����5�� �
Fridley,MN 55432
763-572-3566 ��! t � ��
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and atl ir�terior
p{umbing. (Per City code 402.06) 1 aiso hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN meter � � � � v��
Name• � ��-�/'� � Address � �
Phone Number ��'�L Date I� ��
ignature ��� �" C""�' � Witness5ignature �
OLD METER# I 1 � 4� ��� J
OLD READING � �� � �� �
NEW METER# 1 � I 1 ����
NEW READING �
ERT# !G�"-'�� ���
FRIDLEY CITY CODE
�;, CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of a�y water of sewer line connecting the existing rswnicipal system and am►house or buildir�g for which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. it shall be unlawfu!to cover
any connecting line until an inspectio�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 connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to tfie property line for connection,the applicaM,owner,or occupant or user of such premises shaii be liable for afl repairs
required to any water line and sewer lines necessary for connectio�of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property ownes shall be charged for the costs of the maiMenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including 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)