Meter Swap Request Number: 13056
`' Public Works Division
Service Request
Problem Address: 1618 Onondaga St Requested By: Miguel
Department: WA'IER Addresg; 1618 Onond�a St
Fridley,MN 55432
, Problem/Issue: INSTALL AMR ME'IER Phone Number: 612-998-2541
Scheduled Date: 201'7-02-28 Schednled Tfine: 02:00:00'
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ACIION NEEDED:
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. Created by: Beth Kondrick Date Created: 2017-01-24
•ACIION TAI�N: ,
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Status: In Progress , Snbmitter Has Been �
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Dxte Completed: � Completed by: �
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Wate��e�artrnent
543].Universit�r a4veroue NE ��-� � � 7 �-�
Fridley,MN 55432 ����
763-572-3566 � ' � _� ���D D_ (��
� 9/'Ne hereby authorize the City of Pridley and/or its empioyees to do what is oecessary to
' replace#he water meter. �unclerstand that fihe property owner is liable for the water line#rom the main to the premise and ail ir�terior
plumbing. (Per City code 402.06) I also hold the C'rty of Fridley and/its employees harmless for any sJamages that may occur while doing this
operation. This to 9nclude,bufi not limited to valves,piping,wails,floors or the+curb stop box and service line. In understand 1 am also require�
to obtain a perm'rt prior to any wor4c,if necessary.
FINAL METER READING(old mefier) ✓ � � �O
Name• �1 Address � - � ��
Phone Number � 1 p� ?j r?j&' ��
Signature YY'�tness Signature
Ot,D MET�ER# � `�� � � s�
OLD READlNG J � "` S r�� �1 I�( �
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NEW METER# � 1� ��CJLJ
NEW READING �
ERT# F � ��' L,►ti./ 1
FRIDLEY CiTY CODE
CH�e1PTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,i156,1191)
402.5 PERMIT FEE
Prior to constructing or fepair of any water of sewer line connecfiang the existing muniapal system and arry house or buiiding for which the
application is made,the owner or corrtractor shall be required to obtain a permit for wch connection,and shaU pay a permitfee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shail be unlawful to wver
any connecting line until an inspection has been made and such connectiort and the work inadeirt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AMD MAINTENARICE TO COtYWECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property li�m or a water service Iead has
been extended to the property line for connection,the applica�,owner,or accupant or user aF such premises shali be ltable for ail repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. tf the property owner
requests mairrtenance senrice or repairs be�e�Formed by the City,the property owrter shal!be charged for the costs of the mairrtenar�e and/or
repairs,including necessary street repairs at a rate set annuaily by an administra#ive policy. It shali be the responsbility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to fihe main inciuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that tt remains above#he finished
grade of the land or property. (Ref 638,1156,1191)