Meter Swap � Request Number: 12777
Public works Division
Service Request
Problem Address: 7360 Melody Dr Requested By:
DepRrtment: WATER AddreaB: No a�ress providcd
ProblemJlss�: IN5TAL,L AMR METER Pho�Number: 763-95�-2794
Schednled D�te• 201?-01-13 � Scfiednled'Ilme: 01:00:00
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Aiit."I10N NEEDED:
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�" Created by: We�y Hiatt Date Created: 2017-01-09 ''
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AGIION TAI�N: .-
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Sn6mitter Has Been ;;4 x" ,.
Stntns: In Progress Coutncted r �
D�e Coefpleted: � ._.. i� � �� Completed by:
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City of Fridley � � �{ ` ��
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Water Department � � �
6431 University Avenue NE
Fridley,MN 55432 s
763-572-3566 � ��'�S ��3 3 v��`
I/we hereby authorize the City of Fridley and/or iu 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 ali interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,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.
FINAL METER READING(oid meter) ��L7 / LJ���
Name• Address ���� v_ `���� ��
Phone Num � J l�� '� �� Date �~ �`�� � 1
. ��
,�/ Signature Witness Signature
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OLD METER# ���� � ��/�
OLD READING ���� � f d
NEW METER# - 4� t ��?S��
NEW READING �
Er�r# ���1�' �� �0
FRIDLEY 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 construding or repair of any water of sewer line connecting the existing municipal system and any house or butldk�g for which the
application is made,the owner or contractor shail be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawful to wver
any connecting line untfl an inspection has been made a�d such connectioa 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 sewer lead at the property line or a water service lead has
been extended to the property line for connection,the app{icant,owner,or occupant or user af such premises shail be liable for all repairs
required to any water line and sewer lines necessary for coonection of the premises from the main to the premises. 1f the pfoperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�enance and(or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the p�emises to the main induding debris dearing or
root cutting and to maintain 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)