Meter Swap ,
. Request Number: 12781
Publ�c Works Division
Service Request
Problem Addresa: 1390 Onondaga St Reqeested By: Fdward Karn
Dep�rtment: WATER Address: No address provided
Problem/Isaue: INSTAI.L AMR METF.R Phone Number: 784-?410
Schednled Date: 2017-01-10 Sc�eduled 1lme: 08:OO:OU
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ACIION NEIDED:
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Crexted by: Wendy Hi�t Date Cre�ed: 20 t 7-01-09 �
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Statua: In Prog�ress Sabmitter HAc Beee C
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I?�te Completed: �,'— �U -- �� Campleted by:
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City of Fridley �` '� ~ �/ ���� r v�
Water Department
� � 6431 University Avenue NE O I � (� �
Fridley,MN 55432 � ��
763-572-3566
1/we hereby authorize the City of Fridley andjor its employees to do what Is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerior
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.walls.floors or the wr6 stop 6ox and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � �� �� `�'
Name: ��� Address �� l � l��U��-•�/� �
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Phone Number 6 ��^ / ��d Date l�"r I �/ � ��
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Signatur2'�" � �!�—• Witness Signature
OLD METER# C�q,.,� � �p� ��
OLD READING�' G ���G
NEW METER# ���� '����
NEW READING �
ERT# C��`�$a 5�,�j
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRATION
(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 sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or corrtrector shall be required to obtain a permit for such connection.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 cover
any connecting line untit an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connecCion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the wate�service curb stop box or the sewer lead at the property line or a water strvice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for aN repairs
required to any water line and sewer{ines necessary far connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the mairitenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responslbility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service tine from the premises to the main including debris c{earing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)