Meter Swap � "
Request Number: 16049
Public works Division
Service Request
Problem Address: 655 Kimball St Requested By: Devnis
Department: WATER Address: No address provided
Problem/Issue: INSTALL�AbIIt ME1ER Phone Nnmber: 763-742-4539
Scheduled Date: 2017-06-20 Scheduled 1Imt: 11:30:00
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ACITON NEEDED:
Created by: Wendy Hiatt Dnte Created: 201�-06-19
ACTION TAI�N:
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_ Status: In Progress Snbmitter Has Been r
CoMacted
Date Completed: Completed by:
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� Ci#y of Fridiey
Water Department ,�j ���2
6431 University Avenue NE � ��
Fridley,MN 55432
763-572-3566
��"ve hereby authorize the City of Fr�dley and/or its employees to do what is necessary to
rep�ace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ali iirterior
plumbing. (Per City code 402.06} 1 also hold the C'rty of Fridley and/its employees harmiess for any damages that may oc.cur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. la understand I am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ������
Plame• Address \p�� �"' "Y' ��
Phone Number����� �� � �` �'���
�Signature �'tiC%�'l'!"/ `!Z�� . W�tness Signature
OLD METER# ��°����'
OLD READING `���� �l�
NEW METER# `'��������
NEW READING V
E�# � ��21��D
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM IA/ATER 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 constructing or repair of arry water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall 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 Depardnent shall be not�ed It shail be unlawful to corer
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C�ty 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 searer iead at the property line or a water service tead has
been extended to the prvperty line for con�ection,the app(icarrt,owner,or occupant or user of such premises shall be liab(e for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. ff the property owner
requests maintenance senrice or repairs be performed by the C'ity,the property owner shail be charged for the costs of the maintenance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative poficy. tt shaf!be the responsibil'rty of 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 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 land or property. (Ref 638,1156,1191 f