Meter Swap Request Number: 15224
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Public Works Division
Service Request
Problem Address: 7076 Hickory Dr Requested By: Robin Anderson
Department: WATER Address: No ad�ess provided
Problem/Issne: IN5TALL AMR ME1ER Phoae Number: 612-578-1676
Scheduled ifste: 2017-OS-1 Q Schednled 1lme: 10:00:00
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ACTION NEEDED:
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Cres�l'by:^�' WendyHiatt DateCreated: 2017-OS-08
ACIION TAKEN:
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Statua: In Progress ���er Haa Been �,
Cout�cted
Dnte Completed: f _ '� I� Completed by: \ � I 0
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� City of Fridley �O� ��/
Water Department
" 6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of F�idley and/or its employees to do what is�ecessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) 1 also hold the C'�ty of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not Iimlted to valves,ptping,walls,floors or the wrb stop box and service line. In understand 1 am afso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING old meter � �� � ���
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Name: ��Gx�/L 1-�YI�'C�t ),�D� Address _ �v (�"�' ��t�"��1 �-
Phone Number �(Z ` ��v �� 6 V! p�. �_ �4 � �7
Signature Witness Signature
OLD METER# I v� � o c � I
OLD READING `�-��v����
NEW METER# 6 l�� � 1�� �
NEW READING V
ERT# � � I ��Ot�`')
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
{Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT PEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or build(ng for whith the
application is made,the owner or rnntractor shail be required to obtain a permit for such connection,and shali 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 not�ed. It shall be unlaMrful to cover
any connecting line uMil an inspection has 6een made and such tonnection and tfie work incideM thereto has been appro+red by the Ctty as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNEC'T'ION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a wate�service lead has
been extended to the property Iine for connectio�,the applicarrt,owner,or occupaM or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property oarner
requests maintenance service or repairs be performed by the Ctty,the propertyr owner shall be charged for the costs of the mairKenance and/o�
repairs,including necessary street repairs at a rate set annual4y by an administrative poliry. R shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main including debris clearing or
root cutting and to maintain the water senrice 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 638,3156,1191)