Meter Swap Request Number: 15505
� • Public Works Division
Service Request
Problem Address: 6820 Hickory St Requested By: Christine
Dep�rtment: WATER Addreas: No address p�ovided
Problem/Lssue: INSTALL AMR ME1ER Phone Number: 651-343-4676
Scheduled Date: 2017-OS-26 Scheduled Time: 01:00:00
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ACTION NEEDED:
Created by: Wendy Hi�tt Date Created: 2017-OS-23
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ACTION TAI�N:
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Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: ` r� ��� Completed by: � , �
J (,�„ C..
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tity of Fridley ��� ��/��
Water Departrnent �'r
' 6431 University Avenue NE
Fridiey, MN 55432
763-572-3566
1/we hereby authorize the City of Fridtey and/or its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per C�ty code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may o�ur while doing this
operation. This to include,but not timited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am aiso required
to obtain a permit prior to any work,if necessary.
FIPIA!METER READING(old meter) I � � I �� �
Name• l.��r`1�'S�e l�dress � �o�l l� �--_��j.�-�Y� Cj '
--•r
Phone Number �Jt l ��� — -G���8 Date �� � � `'' {�
Si nature Witness Signature
OLD METER#_ ���� �c b�''`��
OLD READING _ �� (1 I � O
NEW METER#_ ' l -1�a ,5� D�
NEW READING � �
E�# �a 3 � 5 � �. �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,98$,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water o�sewer line connecting ihe existing municipal system and any house or buiiding for wh[ch the
application is made,the owner or contractor sha(1 be required to obtain a permit for such connection,and shal)pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t sfiall be natified. it shall be ualawful 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 MAINTEPIANCE 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 co�nection,the applicant,owner,or occupant or user of wch premises shall be liabie for all 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 or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility of the applicant,
owner,occupant or user to perform standard mair�tenancQ of the sewer senrice line from the premises to the main including debris clearing or _
root cutting and to mairrtain the water service curb stop box for operability and at such height as wi{f ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)