Meter Swap . � Request Number: 12690
Pubtic works Division
Service Rec�cest
Problem Address: 7489 Melody Dr Requested By: Robert
Dep�rtu�ent: WATER Address: No�ess provided
Problemlla:ue: INSTALL AMK METER Plwne Number: 1-71 S-SOZ•9398
ScAedaled e: 20 7-01-04 � Sc�edaled 1l�ae; 01:00:00
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ACTION NEEDED:
Cre�ed�*: Wc:�dy Hi�tt Date Created: 2017-01-03
ACTION TAI�N:
:��.I�e� ���-
���: jn Progress Sabmitter Iiat Been r,
Cogtacted
Ih�te Completed: � ���� Completed by:
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City of Fridley
Water Department
6431 University Avenue NE "Z�� ��j��(� � 3��6�--
. Fridley, MN 55432 J
• 763-572-3566 <�? � �y�
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1/we hereby authorize the City of Fridiey and/or its emptoyees to do whafi is necessary to
repiace the water meter. f understand thai the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per Gty sode�02.06) 1 aiso hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This ta include,bufi not limited to vafves,piping,walls,floors or the curb s#op hox artd service line. fn understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING{old meter) ���'`� ��Jv
Name•_���� Address �� V V i_9 ►"l'C,���.�P ��,
Phone Number i- ! �5 —��2 � t�3 1 � pate � � � �Y '`� �� �
-, ! � _/
`�('Signature !/"� �--�' W+tness Signature
v t
OLDMETER# � I �� ���v
OLDREADtNG_� ���� `��
NEWMETER# _ _ 1�� , { �� U` �
NEW READtNG �
E�# c�� 8g � �1 � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMfNfS'iRATfON
(Ref Ord No 113,464,565,566,529;638,662,922,988,1144,115b,i191j
402.5 PERMIT FEE
Prior to constructsng or repair of any water of sewer line wnnecting ifie existing muniapal system and arry house or building for whsch Cfie
application is made,the owner or corrtractor shafl be required to obtain a permit for such connectioa,and shali pay a permit fee as provided in•
Chapter 11 of this Code. After such co�nection has been made,the Water and Sewer Departsnent shali be natified. it shail be uniawful to�rer
any connecting line until an inspectio�has been made and such c4nnectio�and tfie work inaderrt theretn has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After ttre initia!connection has been made to the water service curb stop box or tfie sewer lead at the property tine or a water service lead has
been extended to the praperty line for connection,the appiicaM,owner,or occupart or user of such premises shalt be liabie for alt repairs
required to any waRer line and sewer lines necessary for connection of the prers�ises from the main to the premises. ff the properiy owner
requests maintenance senrice or repairs be perfarmed by the City,the property owner shap be charged for the costs of the mairrtenance a�d/or
cepairs,inctuding necessary street repairs at a rate set annually by an administrative po4tcy. K shafi be the respons�bility of the applicant,
owner,occupaM or user to perform standarci maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stap box for operability and at such heigfit as wiN ensure that it remains above the finished
grade of the{and or property. (Ref 638,1156,1191)