Meter Swap Request Number: 15428
Public works Division
Service Request
Problem Address: 6900 Hickory Dr Requested By: Gavin
Department: WATER Address: No address pcovided
Problem/Iasue: INSTALL AMR ME'IER Phone Number: 612-467-I092
Sci�cd�iled D�te: 2017-OS-20 Sche�nled 1lme: 01:00:00
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ACtION NEEI?ED:
Created by: Wendy Hiatt Date Created: 20`17-05-18
ACTION TAI�N:
Statua: In Progress Snbmitter�s Been r
Contacted
Date Completed: Completed by:
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City of Fridley
• water Department �j D � ��J �2
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its 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 ali lnterior
plumbing. (per City cude 402.06) 1 also hold the City af Fridley and/its emptoyees harmless for arry damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
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, FINAL METER READING(o{d meter} O 1 . � _ ,
Name•\►�`�ur(Y�'4 Address
Phone Numbe�lG����V'�� D S�`' �� ��
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��� Signature `` Witness Signature
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OLD METER# �� 't �Z
�JLD READING Vu"' "� ` '� - _
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1�tEl�i METER�#�" I �� �'
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FRIDLEY CITY CODE �
CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER -
. - ADMINISTRAT{ON
� '�(Ref O+�I No]�i,464,565,566,629,b38,662,922,988,1144,1156,1191j #>.`
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402.5 PERMfT FEE
Prior ta constructing or repair of any water of sewer line connecting the existing municipaf system and arry house or buiWir�for which the
appiication is made,the owne+:or contractor shall be required to obtain a permit for such connection,and shaU pay a permit fee as provided in
Chapter 110#this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shail be unlaWrfut to cover
any connecting line until an inspection has been made and such connection and the work i�cident thereto tias beeri approved by tf�e City as a
proper and suitable connection.
.
402.06 REPAIRS AMD MAINTENAPICE TO CONNECTION
�r the initial connection has been made to the water service curb stap box or the sewer lead at the property tine or a water senrice lead has
been extended to the�perty line for connection!'the�pplicant,owner,or occuparrt or user of sucfi premises shail be liabie for all repairs
required to any wat in and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perfocmed by the City,the property owner shatf be charged for the costs of the maintenance and/or
repairs,includin�neces�treet repairs at a rate set annually by an administrative poliry. It shaii be the responsibility of the applicant,
owner,occupant or user�te perform standard maintenance ot'the sewer service line from the premises to the main including debris clearing or
root cutting and to maintaimthe water service 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 638,1156,1191)