Meter Swap �
` Request Number: 12381
Pubtic Works Division
Service Request
Problem A�ddress: 7387 Memory I� Requested By: Jolm Buran
Departme�: WATER Address: No address provided
Problem/Iaaue: INSTALL AMIZ METER Phone Namber: 763-442-5268
Scheduled Date: 2017-01-09 Sc6edaled 1Ime: 09:00:00
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ACTION NEEDED:AMR
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Created iry: Wendy Hiatt Date Cte�ed: 2016-12-07
ACTION TAI�N•
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Strtas: In Progress snbmiaer Has seeo �,
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Ds�te Completed: Com�eted by:
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City of Fridley � (� � � � �
,, Water Department
:- 6431 tJniversity Avenue NE �l--�� ���� ��
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City af Fridley and/or its empfoyees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per Crty code 402.06j I a(so hotd the Ci#y af Fridley and/its empioyees harmtess for any damages thai 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(old meter� ` ,� �� � � �
Name•�.���, k�Ur��U� Address 1 ��i 1 ���'�"1 �" `
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Phone Num r � � e
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�e ` Witness Signature ��_ `
OLD ER#_I� �Z L"1 c��
OlD READING_ ��, �O �I ^I �
NEW METER#�� `��7�0��
NEW READING �
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FRlDlEY 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 constructing or repair of any water of sewe�line connecting the existing municipai system and arry house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a�rmit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
arry connecting line until an inspection has been made and such connection and the wo�lc incide�t thereto has been approved by the City 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 seroice lead has
been extended to the property line for connection,the applicarrt,owner,or+occupaM or user of such premises shall be(iabie for aN repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property oMrner
requests maintenance service or repairs be performed by the City,the property owner shalf be charged for the�af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrati�poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of tf►e sewer senrice tine from the premises to the main indudi�debris�earing or
root cutting and to mairrtain the water service curb stop box for operability and at wch height as will ensure that it remains above the finished
grade of the iand or property. (Ref 638,1156,1191)