Meter Swap 7
Request Number: 15143
Px►'h�ic Works Division
Service Request
Problem Address: 6825 Hickory St Requested By: Ctuis Rey�lds
Department: WA'IER Addresa: No address p�ovi�d
Problem/Isaue: INSTALL AMR ME'IER Phone Number: 612-701-7645
SchedW 2017-OS-18 .� Schedaledllme: 07:OO:QO
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ACTION NEEDED:
�.,� Crented by: We�y Hiatt Date Crented: 2017-OS-04
ACTION TAIiLN:�
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Status• In Progcess Submitter Has Beee �.. . �, �,, :
' Contsicted '
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Date Compieted: 5�_ r� .�(�j Completed by: i���,
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City of Fridley
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Water Department �'"O-{-{= I�, tK,
6431 University Avenue NE J t��r ���
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or Its employees to do what is necessary to
replace the water meter. I understa�d that the property owner is liable for tfie water line from the main to the premise and all iMe�ior
plumbing. (Per City code 402.06) I also hoid the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. Irt undersWnd t am also requfred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �`���'L v
Name: �-�Y`�� �"'�'�10��5 Address ��a5 �'{(�t" �f-
Phone Number ��Z^ !v� — [VJ-`7 Date � — �� � ��
Signature Witness Signature
OLD METER# �/���� lj�5
OLD READING ��� �w
NEW METER# � -I������
NEW READING U
ERT# � '�°��v ✓ 1
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any wate�of sewer line connecting the existing municipal system and any house or buiWing for which the
appiication is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer DepartmeM shali be not�ed. It shall be unlawful to cover
any connecting line until 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 line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for all repairs
�equired to any water line and sewer lines necessary 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 shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administ�ative policy. It shall be the responsibility of the app{tcant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the 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)
. • R�que�t far Servi+c� Report
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AYddress� �6825 HI��RY ST NE ad��e: 612-79�4�
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