Meter Swap • Request Number: 12743
Public works Division
Service Req�st
Problem Addresa: 7370 Melody Dr Requeated By: I�avE Fennin�
Depattmeet: WATFR Addreas: No ad�ess provided
Problem/Ias�e: INSTALL AMR ME'IER Phoae Number: 763-786-5472
Schednled 2017- i-11 � Schedaled'Iime: 11:30:00
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ACIION NEIDED:
Created by: Wendy Hiatt Date Createda 2017-01-0S
ACiION TAKF1N��r
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St�tns: In Progress Sebe�itter Has Becn r,
Coutacted
D�e Cempleted: Completed by: ���.
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�o�/or friaoey � � � �
Water Departrnent �/o
6431 University Avenue NE `�
Fridley,MN 55432 � 1 a,,��Co�-S�l� �
� 763-572-3566
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1/we her�by authorize the C'rty af Pridiey andJor its empioyees to do what is necessary to
replace the wafier meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. {Per City code d02.06) i alsa hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This to inciude,bufi not lim�ted to valves,piping,walis,floors or the curb s#op boz and senrice line. in understand I am also required
to obtain a permit prior to any wo�tc,if necessary.
FIAIAL METER READING(ofd meterj 1..� � � �
�re, � ` 1 ��1.� li`
Name: � Address
Phone Numf�r��`"-����• �� �p� � � ���`"� ��
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�Signature �tness Signature ��-
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OLD METER#_� I� i � �
OLD READtNG l��� 1 O
NEW METER# � V�`� Y �
NEW READING �
ERT# ��� I V(/�
ERlDIEY CITit CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiAIISTRATiON
(Ref Ord Pio 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 muniapai system and arry house or building for which the
application is made,the owner or ca�trador shali be required to obtain a permit for such wnnection,and shalt pay a permii fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be noti�ied. It shail be unlawful to coaer
any connecting line urrtil an inspection has been made and such connection and the work inciderrt thereto has been approred by the City as a
proper and suitable connection.
402.06 REPAIRS AMD 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 applicarrt,owner,or accupant or user of such premises shali be liable for all repaTrs
required to any water line and sewer Iines necessary for connedion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed 6y the City,the property owner shatl be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annuafty by an administrative poliry. It shali be the responsit�ility of the applicarrt,
owner,occupant or user to perform standard mairrtenance af the sewer service line from the premises to the main including debris dearing or
root cutting and to mair�tain the water service curb stop box fo�operability and aC such heigfit as will ensure that it remai�above the finished
grade of the land or property. (Ref 638,1156,1191)