Meter Swap � Request Number: 15259
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Public Works Division
Service Request
Problem Address: 6925 Hickory Dr Requested By: Robert Schmidt
Depsirtment: WA1ER Addreas: No address�ovided
Probiem/Issae: INSTAL.L AMR ME1ER Phone Number: 571-7559
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SchedWed te: 2017-OS-17 Sc�ednled Tfine: 10:0U:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Crented: 2017-OS-10
ACTION TAI�N:
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Status: In Progress Snbmitter Haa Been �.,
Contacted
Dnte Completed: Completed by:
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� City of Fridiey � � (,(.��
s Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or tts emptoyees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and aH interior
plumbing. (Per City code 402.06j I also hold the City of Frfdley andrts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service fine. In understand t am aiso requlred
to obtain a permit prior to any work,if necessary.
FINAL METER READING otd meterj � `� � � ��
Name• � ' � Address � 1 //� � I���I►'v� �r
Phone Number�� Y~��� Date �^ Y f f ��
Signature Witness Signature
OLD METER#_ ;����"�I ��J —!
OLD READING J ��� ��
NEW METER# � YJ
NEW READING l )
ERT#��_��i���
FRIDLEY CIT'Y 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 water of sewer line connecting the existing municipai system and ariy house or building for which the
application is made,the owner or cantrador shall be required to obtain a permit for such connection,and shaH pay a permit fee as provlded in
Chapter li of this Code. After sucfi connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting tine untif an inspection has been made a�d such connection and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop boz or the sewer lead�t the property I(ne or a water servke tead has
been extended to the property line for connection,the applicant,owner,or ocaipant or user of such premises sball be tiabie for aii repairs
required to any water line 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 shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set aenually by an administrative poliry. it sha11 be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service tine from the premises to the main including debris clea�ng 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)