Meter Swap � Request Number: 14355
Public Works Division
Service Request
Problem Address: 7611 Pleasantview Dr Requested By: Flore�e
Department: WA1ER Address: No ad�ess provided
Problem/Iasue: INSTAL,L AMR METER Plwne Number: 763-458-7087
Sc6eduled Date: 2017-04-11 Schednled 1lme: 11:00:0(i
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ACTiON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-03-28
ACIION TAI+�N:
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Status: In Progress Snbmitter Has Been r,
Contacted
Ds�te Completed: Completed by:
Honrs
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City of Fridley
Water Department
6431 University Avenue NE �((p — ��y�� �,
Fridley,MN 55432 �� 2�Cj(
763-572-3566 'J �`/
�/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 interior
plumbing. (Per City wde 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may oca�r while doi�this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service Iine. In undentand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) '�-�`�
Name: �' 10�(ex ���--� Address � �� � � l"�S�l� ,V" V 4✓`
Phone Number !��� - I��r��$�Date - l"� � I'� � �
Signature \ /� �---- Witness Signature
OLD METER# �� \ y��
OLD READING �� �� ��
NEW METER# " 1� W FJ `��
`'NfW READING O
ERT# ! 1,������ �
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 arry water of sewer line connecting the existing municipal system and arry haise or building for which the
appllcation is made,the owner or wntractor shall be required to obtain a permit 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 and Sewer Department shall be notified. k shall be unlawful to�ver
any connecting line until an inspection has been made and such wnnection 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 connedion has been made to the water service curb stop box or the sewer lead at the property(ine or a wate�serv�tead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be IiaWe 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 mairrtenance service or repairs be performed by the City,the property owner shall be charged for the�of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibil'rty of the applicaM,
owner,occupant or user to perform standard mai�enance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,3156,1191)