Meter Swap 4 i Request Number: 15541
Public Works Division
Service Request
_ _ __ __ __ _
Problem Address: 160 Liberty St Requested By: Schmitz
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMIZ METER Phone Number: 763-786-7222
Scheduled Date: 2017-OS-26 Scheduled Time: 11:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-24
ACTION TAI�N: � �
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley �� � ����
, Water Departrnent
• 6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/we herehy authorize the City of Fridley andior its empioyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line fram the enain to the premise and all iriterior
plum6ing. (Per�ity code 402.06) I also hold the City of Fridley andJits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,fioors o�the curb stop box and service line. {n understand t am also required
to obtain a permit prior to any work,if necessary.
FBNAL METER READING(otd meterJ � � �O��
Name: ��i��M r � Address ��� �
Phone fYumber����• �����ate � —�� � ��
Signature _ Witness Signature
OLD METER# ��� � ����
OLD ftEADING � �� v��
NEW METER# ����� � � �
NEW READINC;�
E�-�# � Z ���o � �
FRIDLEY CIT�!COQE
CHAPTER 402.WATER,STORNt WATER AND SANITARY SEWER
�►DMINISTRATION
(ftef Ord Nc�113,464,565, 566, 629,638,662,922,988, 1144, 1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipat system and any house or buiiding for which the
application is made,the owner or contrador shaii 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 Seuve�Oepartment shall be notified. {t shal{be unlawfui to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
Qroper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia!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 connection,the applicant,owner,or occupant ar user of such premises shal{be tiable for all 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 af the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shal!be the responsibility of tfie appticant,
owner,occupant or user to perform sta�dard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and xo 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 638,1156,1191J