Meter Swap � Request Number: 14412
Public works Division
Service Request
Problem Address: 1470 Onondaga St Requested By: Steve Salr�
Department: WATER Addreas: No a�ress provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-784-8044
Scheduled Date: 2017-04-13 5c6ednled 1lme: 10:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Cr�ated: 2017-03-30
ACTI�TAI�N: 1 �
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Status: In Progress 5ubmitter Has Been r
Cont�ted
Date Completed: Completed by:
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City of Fridley � 'P
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey and/w its employees to do wF�t is necessary to
replace the water meter. I understand that the properly owner is liable for Che water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the C�ty of Fridley and/its employees harmless for any damages that may ocair while doisq�this
operation. This to include,but not limited to vaives,piping,walis,floors or the wrb stop box and service line. In uoderstand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_ � � � ✓ [��
Name: ���`�"''`— �v`�'� Address �� � �
PhoneNumber�C)v��� t�J�.� 1 ` Date �� V�'� Y�
Signature `� \ / Witness Signature
OLD METER# � S �� �� c7�
OLD READING Y � I ��
.
NEW METER# " b�� U I ��
NEW READING v
ERT# � 2222� � �
FRIDLEY 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 construding or repair of arry water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer DepartmeM shall be notified. It shall be unlawfu!to co�r
any connecting line until an inspection has been made and such connection and the work incident 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 wrb 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 applicant,owner,or ocwpant or user of such premises shall be Ilabk for all repairs
required to any water line and sewer lines necessary for 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 mairftenance and/or
repain,inctuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains abwre the ftnished
grade of the land or property. �Ref 638,1156,1191)