Meter Swap .
Request Number: 15172
` Public Warks Division
Service Request
Problem Address: 6959 Hickory Circle Requested By: Koshuba
l�partment: WATER Address: No address provicied
Problem/Issue: INSTt1LL AMR ME1ER Phone Number: 612-�18-9084
Sc6eduled . 2017-05-19 Schednled 11me: 11:30:00
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ACTION NEEDED:
Created 6y: Wendy Hiatt Date Cre�:ed: 2017-OS-OS
ON T . ��
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Status: In Progress Sabmitter H�Been r.
Coutaeted
Ds�te Completed: Completed by:
J�-'�- ��(- � �°rr
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City of Fridley ��O � � 2 ��
" Water Department �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
VWe hereby authorize the City of Fridley a�d/or tts employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all interior
ptumbing. (Per City code 402.06) !also hold the City of Fridley andjits empioyees harmless for any damages that may ocwr while doing this
operation. This to include.but not limited to valves,piping,walis,floors or the curb stop box and service lioe. In understand i am also required
to obtain a permit prior to any worlc,if necessary.
FfNAL METER READING(old meterf �������
Name• �5' "`�� Address �"Y lJ�r
Phone Number `�� v r L!�"~�_� Date �✓ ��y , I
Stgnature Witness Signature
OLD METER# ���`�'V�� t
OLD READING V� 6�V"1 � �
NEW METER# ��ZZV / � J
NEW READING �
ERT# � �J� `-1 �U��
FRIDLEY CfTY CODE
CNAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
{Ref Ord No 113,464,565.566,629,638,662,922,988,1144,1156,1191�
4U2.5 PERMIT PEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiWing for whkh the
appfication is made,the owner or contrador shafl be required to obtain a permit for wch connection,and shatl pay a permit fee as provided in
Chapter li 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 connecting tine until an inspection has been made and such connection aod the work incident thereto has been approved by the City as a
proper and suitable wnnection.
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 qroperty{ine or a water service lead has
been extended to the property line for tonnecCion,the applicant,owner,or occupant or user of such premises shatl be liabfe for afl repairs
required to anY water iine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service o�repairs be performed by the City,the property owner shall be charged for the tosts of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be tfie responsibility of the applicant,
owner,occupant or user to perForm standard mair�tenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wifl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)