Meter Swap ` Request Number: 15440
Public Works Division
Service Request
Problem Address: 7067 Hickory Dr Requested By: Melissa
Department: WA1ER Address: No�dress provided
Problem/Issu�: INSTALL.AMR ME1ER Phone Number: 651-2?0-1563
Scheduled llnte: 201�-OS-23 Scheduled 1lme: 02:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-18
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Status: In Progress Sabmitter Has Been r.
Contacted
Date Compteted: Completed by:
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City of Fridley ��� � / 2� '
Water Departrnent ���
6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
��WQ hereby authorize the City of Fridley andJor its employees to do what is necessary to
replace the wate�meter. i understand that the property owner is liabie for the water line from the main to the premise and ali irrterior
plumbing. (Per City code 402.06) f also hofd the C'�ty of Fridley andJits employees harmless for any damages that may oaur while doing this
operatio�. This to include,but not{imited to vaives,piping,walis,fioors or the curb stop box and seroice line. In understand 1 am also required
to abtai�a permit prior to any work,if necessary.
FfNAL METER R ING(otd meter) �� � �� `� Q
Name: �y,`�����J�' Addre V Q`G� r'
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Phone Number U��— �u�Jr �,, a�_ ��2��'" �,�
Signature � Witness Signature
OLD METER# �� J� 11 v �J 3
OLD READING.,,_, � O --� Sna wb i � t a-�f-�r�;�-s.
NEW METER# `�`'6���� 1�
NEW READING�
ERT# ���� ��
FRIDLEY CITY CODE
CHAP7ER 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 of sewer line connecting the existing municipal system a�d any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and sha{I pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shalf be unlawful to cover
any connecting line untii 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
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Itne or a water service Icad has
been extended to the property 4ine for connection,the applicant,owner,or occupant 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 properly owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibtlity of the applicant.
owner,occupant or user to perform standa�d maintenance of the sewer service line from the premises to the main including deluis clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191)
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