Meter Swap i �s- �
- Request Number: 12836
Public works Division
Service Request
Problem Addreaa: 1360 Osborne Rd Requested By: Gor�n Illg
Department: WA1ER Address: No address provickd
Probtemllss�us 1NSTALL A11�Ilt METER P�ne Nwsber: 763-786-3545
Se�ednled e: 2 17-01-18 � 5c6edoled 1lme: 02:00:00
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AC'IIQl�i NEIDED:
Created by; Wendy Hiptt Dxte CYeAted: 2017-01-12
A�G7ION TAKErT: �
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Statas: In Progress Snbmitter Hu Bcea C,
Coatacted
Date Compteted: �,� t�--^t� Completed by: ���,�
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City of Fridley
„ � , Water Departmenfi � l-��"��,'}�;� —C��
6431 University Avenue NE
Fridley,MN 55432
763-572-3566 �l � 0� �
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!/we hereby authorize the City of Fridley and/or 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 aii interior
plumbing. (Per C'ity code 402.06) I also hold the C'ity 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,walis,floors or the curb stop box and service iine. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FtNAL METER READtNG(oid meter) �� `�� �
Name: �1��`�'� Address 1��� �rJO r`W�f �
Phone Num r � � � � `� Date �� �� — , `
Signatu Witness Signature �
OLD METER# ��� ��—'I�,�
OLD READING ��� v 1 �
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NEW METER# � 1 �� � t � !
NEW READING �
ERT# �J��� v d v W
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 PERMtT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buildir�for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be not�ed. It shall be unlawful to cover
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 wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia(connection has been made to the water service curb stop box or the sewer tead at the property line or a water service lead has
been extended to the property tine for connedion,the applicairt,owner,or occupant or user of wch premises sha!!be liable for a!I repairs
required to any water line and sewer lirtes necessary for connect+on of the premises fram 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 costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premis�s to the main induding debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)