Meter Swap Request Number: 15594
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Public Works Division
Service Request
Problem Address: 7179 Riverview Terr Requested By: Mary
Depsirtment: WA'IER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 5�1-6463
5cheduled Date: 2017-06-01 Schednled 11me: 10:30:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-26
ACTION TAKEN:
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Status: In Progress Snbmitter Has Been �..
Coataeted
Date Completed: (�„.. I ` '"7 Completed by: � ��,�
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�City of Fridley � 1 1� �� �! �j� � �'
' Water Department `' !p l�/
, 6431 llniversity Avenue NE
Fr�dley, MN 55432 � �1 �11�
763-572-3566 �� �V
��We hereby authorize the Gty of Fridley and/or its employees to do what is necessary to
replace the water meter, t understand that the property owner fs liable fo�the water line trom the main to the premise and a{I irrterior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmtess for any damages that may ocwr while doing this
operation. This to inciude,but not limited to va(ves,piping,wails,floors or the curb stop box and senrice line. In understa�xl t am also required
to abtain a pevmit prior to any wor#c,if necessary.
FINAI.METER READtNG{old meter) V�(��� �
Name: �""• 7 Address _ � t I ) I�—�,C�v`�"'��tJ �'��
Phone Number � ` �^ � `W� D� t,Q �- ' -� l �
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Signature Witness Signatvre
OLD METER# ���Q�����Q
OLD READING �"' ✓�� I ��
NEW METER# t t � p� `� ��v�
NEW READtNG V
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FRIDI.EY CIIY 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 municipai system and any kwuse or building for whicfi the
application is made,the owner or rnntractor sbafl be required to obtain a permit for such connection,and shatt 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 notified. It shall be unlawfu{to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has�en approved try the City as a
proper and suitable connection.
402.06 REPAIRS AMD MAINTENANCE TO CONNEC770N
After the in+tial connection has been made to the water senrice cur6 stop box or the sewer lead at the property line or a water service lead has
heen extended to the property line for connedion,the applicarit,owner,or occupant or user of such premises shall be Itable for all repairs
required to any water line and sewer tines necessary for connection af the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mair�tenance a�d/or
repairs,iacluding necessary street repairs at a rate set annualfy by an administrative policy. It shall be the respons�bility of the applicant,
owner,occupant oc user to perform standard mairrtenance of the sewer senrice line from the premises to the main incfuding debris clearing or
root cutting and to mairrtai�the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref fi38,1156,1191)