Meter Swap ` � Request Number: 12770
Public Works Division
Service Request
Probtem Address: 7361 Pine Tree Ln Requested By: Richard Dols
Depnrtment: WA1ER Addreaa: No adc�ess provided
� Problem/Issue: INSTALL AMR ME1ER Pho�Number: 763-786-6294
Schedul ed Date: 2017-01-12 Se6edeled 11me: 08:00:00
��— t
ACIION NEEDED:
Created by: Wendy Hiatt Dste Creatcd: 2017-01-09
AC'ITQN TAKEI�T:
__..______�.�r�le� I�-�`�-�--
Statua: in Progcess Snbmitter Hss Been �,
Coetact�d
Date Completed: �_. � l � �� Complsted by: '��
d� � �, ��/��..
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d°�r
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City of Fridley
Water Department /1�y� �\
6431 University Avenue PIE � I j :S
. � Fridley,MN 55432 �� � � ^ �
. 763-572-3566 �
�/We hereby authorize the City of Fridiey 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 City code 402.06) I also hold the City of Fridley andJits 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 line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)� ,�,� ' � �
Name•�I�L�/1G-�r'� G��j Address �✓� 1 ��° ��-°e � -
Phone Number ���r `v�"����`� Date � — 6� � ��
(��$1' �� ( ���. }..�jQ � �'�
gnature A c Witness 5 nawre
OLD METER# �7�3�.3 9�
OLD READtNG 1 d� I � � 7�
NEW MEfER# t 7 �I �� 3�
NEW READtNG �
ERT# � �v��� I ,�
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 munidpal system and arry house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided irr
Chapter il of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notitied. It shall b�e unlawful to cover
arry connecting line unfil an inspection has been made and such connection and the work incideM thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIdTENANCE TO CONNECTION
After the inittal connection has been made to the water service curb stop box or the sewer lead at the property line or a water service fead has
been extended to the property line for connection,the applicarrt,owner,or acwpant or user af such premises shall be liable for all repairs
required to any water line and sewer lines necessary fer connection of the premises from the main to the premises. tf tl�e property owner
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the p�emises to the main inciuding debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
�rade of the land or property. (Ref 638,1156,1191)