Meter Swap . Request Number: 16112
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Public Works Division
Service Request
Problem Address: 371 Hugo St Requested By: Richazd Bo�ing
Department: WATER Address: No address�ovided
ProblemlIssue: INSTALL t1MR METER Phone Numb�r: 763-504-9224
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SchedWed Date: 2017-0 26 Schednled Tlme: 11:00:00 �
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-23
ACTION TAI�N:
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Status: In Progress Submitter Has Been r.
Contaeted
Date Completed: � �� � _ Completed by: ���/ �D
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City of Fridley
� Water Departrnent S� � (.� ��
� 6431 University Avenue NE
Fridley,MN 55432
763-572-3566
i/we hereby authorize the City of Fridtey and/or its employees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liable for the water line fmm the main to the premise and all itrterior
piumbing. (Per City code 402.06) I also hold the City of Fridiey and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to vahres,piping,walts,floors or the curb stop box and service tine. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid mete�6__ �� 1 � � V
� � � ���'�� 3 `� 1 �-tU C�,U �_ _
Name• L�.VWW � p�(dress
Phone Number �"'�^ �V f Date � — ��� `� i
�ignature l Witness Signature
OLD METER# �� ���r�!V�-
OLD READING _ ��� �� �d
NEW METER#_ 1 1 �� l� �33
NEW READING �
ERT# � � � � ���
FR(DLEY 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 constructiag or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shaii pay a permit f�e as provided i�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notifiecf, it shall be untawful to cover
any connecttng line until an inspection has been made and such connection and the work incident theseto 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 senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shal!be liable for a{I repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility af the applicant,
owner,occupant or user to perform standard mairitenence of the sewer service 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 will ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)