Meter Swap � Request Number: 15161
Public Works Division
Service Request
Problem Address: 6971 Hickory Circle Requested By: Mary w/Tim's Quality Plumbing
Department: WATER Addresa: No address provided
Problem/Issu�`='��JRlrj WA'IER�N/OFF P6one Number: 763-424-3258
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Scheduled Date: 2417-OS-12 Sehednled 13me: 09:00:00
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AC'IiON NEEDED:Turn offvuater for repair.***BILL***
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Created by: Wendy Hiatt llnte Creatsd: 2017-OS-OS
ACTION TAI�Ns
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Status: 1n Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by:
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. � City of Fridley ,/� )/� / /'�
Water Department �(/ � '�(V ( �v �a J
6431 University Avenue NE �D�
Fridley,MN 55432 ��
763-572-3566 � �
Ijwe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liabfe for the water line from the main to the premise and all Interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,p'sping,walls,floors or the curb stop box and service line. In understand I am also required
to abtai�a permit prior to any work,'rf necessary.
FINAL METER READING(old meter) i� ��� ���
Name• Address YJ `� � �T��.��1�� �L�►
Phone Number � "' �� ate "l �`�
Signature Witness Signature _
OLD METER#_ _ ���V ��0�
OLD READING ��� 1 ��
NEW METER# ` � �J ��O�V
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAN{TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEf
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and any house or buildieg for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shaN pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be nottfied. It 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 City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
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After the initial connection has been made to the water service curb stop box or the sewer tead at the property line or a water senrice lead has
been extended to the property line fpr wnnection,the applicant,owner,or occupant or user of wch premises shall be liable for all repairs
required to any water{ine and sewer lines necessary for connection of the premises from the main to the premises. If the p, rty owner
requests maintenance service or repairs be performed by the City,the property owner sfiall be charged for the costs of the '` ' nance and/or
repairs,includtng necessary street repain at a rate set annually by an administrative poliry. It shali be the responsibility of the applicaM,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mafntain the water service curb stop box for operabifity and at such height as will ensure that it remai � ve the finished
grade of the land or property. (Ref 638,1156,1191) t� ' `
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