Meter Swap . Request Number: 12918
Pubfic Works Division
Service Request
Problem Address: 7428 Melody Dr Requested By: Steven Pricc
Deputme�: WATER Address: No adc�resa pcovickd
Problem/Iss�u: INSTALL AMR METF.R Phone Number: 763-783-2074
Schedal d te: 017-01-18 Sc�edeledljme: 08:OO:W
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ACTION NEEDED:
Created by: Wendy Hi�# Dste Created: 2017-01-17
ACITON TAI�N:
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� Sa�tter Has Beea
Status� In Progress Coutncted �
Date Completed: ' — �Y�-- C� Completed by: � ���
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City of Fridley
V�atex Department
• 6431 University Avenue NE
_ Fridley MN 55432
� (763) 572-3561
Uwe hexeby authorize the City of Fridley and/or its
employees to da what is necessary to shut aff the water at the cuxb stop box. I understa�.d
tha.t the property owner is liable for the water line from the main to the premise. (Per
City cade 402.06) I also hold the City of Fridley and(c�z its employees harmless for any
damages tlia#may occur whil.e doing tbis ogerati.on T�iis to include,btzt not limited ta,
sod,yard,landscapin�irees, sbrubs,driveways,sidewalks or th.e curb stop box and
service line. i understaiad I am alsa required ta obtain a per�miit prior ta an�work.
Name: Address:
Phone I'dumber: Date:
Sigt�..ature:
�itiiness Signature: � �
FRT�}LEY CITY C4DE
['Br�PTER 402_'WATEIi,STORM WATER.AND 5ANITARY SEWEIt
AUMINiSTRATION
(Ref Ord.No 113,454,565,566,629,638,fi62,922,988,1144,1156,Ii41)
4�02.05. PEItMIT k�E
Priflr to cons�r�ctiug oz repair of any water o�sewer line connecting the existin.g municipal system and any
honse or bu�d'uag for which the spplication is made,the owner or contractor shall.be reqnired to obtara a
. pemut for snch conneciiion,and shall pay a.germit fee as provided in Chapt�r i 1 of i�is Cod�. A�er such
� connection bas been.made,#he Wa#er an.d S�wer Department sUall be noiified. It sl�all be molawfi9l to cover
any connecfm.g line until�r.�nspection has been�made and such co�tection a�i.d the work incident thereto
has been agparQved bp the City as a proper an.�suitable cwmeci�n.
402.�6. REPAIRS AND 1VZAIl�i't'EIY.ANCE TO CONIVECTIUN
Af�er the initial connection has been made ta the watar servi.ce curb stap box ar'the sewer lead at the
property lime or a water service or sewer lead has been egtend,ed.to tb.e Px�F�Y line far connection,ths
appiicaut,owner,or the occapant or user of sach prenuses shaIl be liable for aIl repairs r�ed t4 a�ry
water line aad any 5ewer lines nec�ssary for cannectian of the premises fram the mam in t�e p��mises. If
the property owner requests maintenance services or repairs be perfarmed by the City,the property owner
shall be charged for the casts of the ma�mtenance and/or repairs,inclnc�ng any necessary st�t repatrs,at a
rate set aud.uaTly by an ad�oinistr�a.tive policy. It shall be the responsb�ity of t%applic�mt,�wnea',occttPant
ar us�r ta'pezform standard maintenance of t�.e sewer sentice lm.e$ram the p�nises to the main inclutling
d.ebxis clearnug ar xoat cu�iing aad to maini�in the watex'sarvi.ce crirb stop bo�for og�ab�i.y and at snch
height as wzil e�sare t�iat it remains abave the fmished gcade of the land or prapexty: {R.ef 638,I 156,I191j
, , City of Fridiey
` Water Department �(� .s��(�S�i���
6431 University.Avenue NE / �
Fridley,MN 55432 �(����.(
763-572-3566
Uwe hereby authorize the City of Fridley and/or its employees to do what is necessary to
�eplace the water r►neter. 1 understand that tfie property owner is liable for the water line from the main to the premise and ail irrterior
plumbing. (Per City code 402.06j I also hold the C'rty of Fridley and/its employees ha�mless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAI METER READING{old meter) � L�� ` �v
Name: S�UC.V�- �"r tc.�, Address ��Z-� �� ��}��(' �l^�
Phone Number f� � `' ✓ � �� Date �_ �� ���
]vSignature �i�.C.L` Witness Signature
✓�
OLD METER# `�``-' � � �'��
OLD READING J � I � ���/ ����
NEW METER# �� � ' �✓ / �
NEW READING �
ERT# �� �� v � � 1
�RIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANtTARY 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 any water of s�ver line connecting the existing municipal system and arry house or building for which the
appliwtion is made,the owner or contractor shall be required to obtain a permtt for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connedion has been made,the Water a�d Sewer Oepartment shall be notified. It shall be unlawful to cover
any connecting line untii an inspection has been made and such co�nection and the work tncident thereto has been approved by the City as a
proper and suitable connection.
4Q2.06 REPAtRS AND MAfNTENANCE TO COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a wat�r senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water line and sewer lines necessary for w�nection of the premises frort►the main to the premises. If the property owrner
requests mairrtenance service or repairs be performed by the Ctty,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applitant,
owner,occupant or user to perform standard maintenance of tfie sewer service iine from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as Mrilt er�sure that it rematns above the finished
grade of the land or property. (Ref 638,1156,1191)
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