Meter Swap .
' Request Number: 15231
Public Works Division
Service Request
Problem Address: 6987 Hickory Dr Requested By: Denise
Department: WA1ER Addresa: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-43$-1129
Sc6eduled Date: 2017-0 -11 ,� Schednled 1lme: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Ihte Cres�ted: 2017-OS-09
ACTION TAI�N:
.............l���.�._....�..��..�..�..._.._...._ ____.�.__ ._ ._.______. __.____.__
St�tus: In Progress Sabmitter Has Been r, �
Contacted
Date Completed: Completed by:
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� City of Fridley �� ���
' Water Oepartrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/we hereby authorize the C(ty of Fridley and/or its employees to do what is necessary to
replace the wate�meter. i understand that the property owner is liable 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 ocar while dotng this
operatian. This to include,but not Itmited to valves,piping,wa{{s,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAI.MET R READIN6(old meter)__�� r/�.�
Name: � �'�� qd '� 1� 1 �—
dress �i��
Phone Number L]V�,J _ {���f V�� Date�` ��^ �� r�
Signature_�,� Wkness Signature
OLD METER# J��� �O� `
OLD READING �� J 1�W
NEW METER# �T E� VIJ���J
NEW READING_�
ERT# � � u � � � 4 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water aF sewer line connecting the ex(sting municipal system and any house or buiiding for which the
applicatian is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a perm(t fee as provided in
Chapte�ii of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cover
any connecti�g line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitahle connection.
402.06 REPAIRS AND MAINTENANCE t0 CONNECTIOW
After the initial connectio�has been made to the water service curb stop box or the sewer tead at the property Ilne or a water service lead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises shall l�liable for all repairs
required to any water line and sewer lines�ecessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the tosts of ffie maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrat"sve poliry. It shall be the responsibility of the applicant,
owner,occupant or user to pert'orm standard maintenance of the sewer service line from the premises to the main induding debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such he'sght as wiN ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)