Meter Swap . Request Number: 15418
4
Public works Division
Service Request
Problem Address: 40 Osborne Way Requested By: Anthony
Departmeat: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-571-1155
Scheduled Dxte: 2017-OS-26 � Schedaled'I1me: 1 I:30:00
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,
ACIION NEIDED:
� Crented iiy: Beth Kondrick Date Created: 2017-OS-17
ACTION TAI�N: ��3--V�-cT' ���,��
�;�:,
Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: �� �!„��� Completed by: ���� ' '�
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City of Fridley � r
3 � � �� ��0-�2
, Water Department � r '/
6431 University Avenue NE S�� Ll Y��
Fridley,MN 55432
763-572-3566
��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 all iMerior
plumbing. (Per C'ity code 402.06) 1 also hold the City af Fridley andrts emp{oyees harmless for arry 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 line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING{old meter) (/�� (J►� ���
Name• ���1ti'�/ Address �� �OC.9r�VL�i W�/
Phone Number ��Z�J — 5� 1, -'�,j r'J� Date � ��'���
ture W�tness Signature
�� ��Z � `�7 2 � 3 ��' ���
OLD METER# � 5
OLD READIMG ����a�
NEW METER# � V�� "� � l
NEW READiNG �
ERT# ���� � � ��
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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 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 cor�tractor shail be required to obtain a��rttit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water andSewer Department shall be notified. It shail be unlawfui to cover
any connecting line urrtil 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 CONNECi'ION
After the initial connection has been made to the water service curb stop bc�x or the sewer lead at the property line or a water seroice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable 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 ow�er
requests maintenance service or repairs be pesformed by the City,the property owner shalt be charged for the com of the mai►rtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�