Meter Swap �
. Request Number: 15585
Public Works Division
Service Request
Problem Address: 7170 Ri�erview Terr Requested By: John Berg
Depsirtment: WA'IER Address: No address provided
Problem/Issue: INSTALL ANIIt METER Phone Nwnber: 763-238-8346
Scheduled Date: 2017-06-01 5chednled 1lme: 11:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-26
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by:
�� j- 17 �a�,e.,
, �ity of Fridley � �Q iD�
Water Department � /� ,r � � �
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6431 University Avenue NE �D _IL ��( I
Fridley,MN 55432 �F ���
763-572-3566
��'"�e hereby authorize the Crty of Fridley and/or its employees to do what is�ecessary to
replace the water meter. t understa�d that the property awner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the�ty of Fridley andrts empioyees 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 senrice line. In understand 1 am aiso required
Co obtain a permit prio�to any work,if�ecessary.
FiNAI METER REqDtNG(ald meter) 1 � ��l b
Name: p��� ,_ Address_ � 1� D ��`Y U �o�� �Cil Y .
Phone Number � �' ^ �Y�p� �.�G '� � "' � �
Si ature Witness Signature
OLD METER# `� I
OLD READING � � �J��� !� v
NEW METER# 1��4�.C��a�
NEW READIIdG �
ERT# ���o� �� � �D
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 PERM17 FEE
Prior to constructing or repair of any water of sewer iine connecting the existing munic�pal system and any house or buitding for which the
application is made,the owner or conCractor shafi be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connecCion has been made,the Water and Sewer Departmerrt shali be natified. It shall be unlawful to cover
any connecting line unti!an inspection has been made and such w�nection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.Q6 REPAtRS AND MAIMTENANCE TO COMNECT{ON
After the initial connection has been made to the water service curb stap box or the sewer lead at the property Iine or a water senrice lead has
been extended to the property fine for connection,the applicant,owner,or occupant ar user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. !f the property owner
requests maintenance service ar 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 cate sQt a�nuaNy by an administrative policy. ft shali be the responsibil'tty of the applica�rt,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris dearing 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 finished
grade of the land or property. (Ref 638,1156,1191)