Meter Swap ' Request Num6er: 16299
Public Works Division
Service Request
Problem Address: 663 Hugo St Requested By: Aaron
Department: WATER Address: No�ress provided
ProMetn/Issue: INSTALL AMR ME'TER Phone Number: 218-371-7766
Schedul Date: 2017-07-1 Schednled 11me: 07:30:00
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AC'iION NEEDED:
Created b� Wendy Hiatt Date Created: 2017-07-12
ACTION TAI�N:
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Status: In Progress Submitter Haa Been r,
ContActed
Date Completed: �+ ��`t� Completed by: C�l, ��
J F�
�ity of Fridley
���y/ ��/ r�� Q�
Water Departrnent n 7
' 6431 lJniversity Avenue NE S��- ����
Fridiey,MN 55432
763-572-3566
1/we hereby authorize the CTty of Fridley and/or its employees 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 a113nterior
plumbing. (Per City code 402.06) 0 also hold the City of Fridley andPts employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to vafves,piping,walis,floors or the curb stop box and senrice line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) 3 a � � �' �v
Name: ���r' Address_ ��Fi� ��� V ��•
Phone Number ��� 3��' ����B Date � —"� �� '' ��
�Signature Witness Signature
OLD METER# V��� ���01
OLD READING _ � � -J � ��"�,O
NEWMETfR# � _{3� JC0 1 '
NEW READING �
ERT# G � � I $� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SE1A/ER
ADMtMISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMtT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or bui{di�for which the
application is made,the owner or rnntractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shalt be not�ed. It shall be unlavirful to cover
any connecting line untit 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 APIQ MAINTENANCE TO COPINECTION
After the initial connection has been inade to the water service curb stop box or the sewer lead at the property line or a water service(ead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises shall be liable for all repairs
required to any water line and sewer{ines necessary for connection of the premises from tF�e main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/o�
repairs,including necessary street repairs at a rate set annualiy by an arlministrative policy. It shatl be the responsibifity o#the applicant,
owner,occupant or user to perForm standard maintenance 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 af the land or property. (Ref 638,1156,1191)