Meter Swap � Request Number: 16318
Public works Division
Service Request
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Problem Address: 215 Liberty St Requested By: Teresa Bemier
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER Phone Number: 763-558-7818
Scheduled Date: 2017- 7-18 Scheduled Time: 11:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-13
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been �
Contacted
Date Completed: � ,� ��.� ,�j Completed by:
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. City of Fridl2y
� Water De�sartment ( 71 � � �
6431 lJniversity Avenue NE J U � �
Fridley,MN 55432
763-572-3566
i/we hereby authorize the City of Fridley and/or its employees 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
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not fimited to valves,piping,wal(s,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.
FINAL METER READIPIG(old meter) �� � � V � �
Name: ���Gl ��irh i�-r Address I�-� �� ��'Q,r"t'(.� S�-
Phone lVumber `� � � �V�(J Date �`' � V `� '�
�Signature Witness Signature ��
OLD METER# �`+�� `� ��
OLD READING � � � I ��v
NEW METER#_ - 6 t �✓ � ���
NEW READING O �
ERT# � p� �� /O �Qv
FRIDLEY CITY CODE
CFIAPTER 402.WATER,STORM WATER AND SANITARY SEINER
ADMINISTRATION
(4tef Ord No 113,464,565,566,629,fi38,662,922,988,1144, 1156,1191j
402.5 PERMtT FEE
Prior to constructing or repair of a�y water of sewer line connecting the existing municipal system and any house or buiiding for urhich 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 Department shall be notified. It shall be unlawful 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 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 service iead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for a{I repairs
required to any water line and sewer lines necessary#or 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 maintenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance o�sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the r�vater 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 638,1156,1191j