Meter Swap 4 Request Number: 15797
Public Works Division
Service Request
Problem A,ddress: 8021 Riveriview Terr Requested By: Michael Wall
Depsrtmeut: WATER Address: No address}xovi�d
Problem/Ias�: INSTALL AMR ME1ER Phone Number: 763-786-�151
Scheduled Date: 2017-06-0 � Schedaled Tlme: 11:30:00
r
AC'FION NEEDED:
Crested by: Beth Kon�ick Date Created: 2U 17-06-06
AC110N TA�� �
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Stxtus: In Pro�ess Snbmitter Hac Been r
Cont�ted
Date Completed: Completed by:
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1
�City of�ridley �� �` � ��1 � ��' �2
HVa#er[Departa�aer�t
' 6431 i�n6versity A�eroue NE � -� � ��
Fridleya MN 55432
763-572-3566
+``'Ve hereby autharize the Gty of Fridley and/or dts employees to do what is necessary tc
repiace the water meter. i urtderstand that the property�arner is liable for the water line from the main to the premise and all irrterior
pPumbing. (Per�ity code 402.06! I atso hold the City of Fridiey and/its employees harmless for any damages that may occur whiie doing this
operation. This to indude,but not limited to vatves,piging,wa{Is,floors or the curl�stop box and senrice line. in understand!am also require
to obtain a permit prior to any arork,if necessary.
FINA!METER READING{old meter) � D� � �/ 'O
Nasne: ��C��C��� v`� ` Address '�J`�� �L lI'� V l LNv ��-Qi�
Pfione Atumber� � ��� `�) p 1Q" ��" ��
�Signature Wftrtess Signatus�e �_
OLD METER# � � � ��— � /�
OLD READtNG � ��� ���
N��,�E,-ER� �°I2�1,�g�0
NEW�tEADtNG �
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FRIDLEY CITY CODE
CHAPTER 402,WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
{Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior#o constructing or repair of any water af sewer line canneding the existing municipal system and arry house ar fwifding fo�which the
appficatio�ss made,tfie owner or cor�tractor shali be required to a6tain a permitfor such conaection,and shall pay a perm�tfee as provided in
Chapter 11 of this�ode. After sach connection has been made,the Water and Sewer Department sha116e natified. It shall be unlawful to cov�r
any connecting line urnil an inspection has been made and such connection and the wortc inciderrt theretu�Sas lsEen approved by the Crty as a
proper and suitable connection.
402.06 REPAtRS AIVD MAINTENANCE TO CONPIECTIOIV
After the inittat connection has been made to the water seroice curb stop box or fifie sewer iead at the property line or a water senrice lead has
been extended to the property Iine for conrtection,the applicant,owner,or occupar�t or user of such premises shali be i(able for all repairs
required to any water line and sewer lines necessary for connecCion of the premises from the main to the premises. If the property oarner
requests maintenance service or repairs be performed by the Ctty,the property owner shall be charged for ihe costs of the mait�tenance and/ar
repairs.iacluding necessary street repairs at a rate set annual(y by an administrative poliry. It shall be the responsi6ility of#he appiicartit,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main includisig�ebris dearing or
roo#cutting and to maintain the water senrice curb stop box for operability and at such height as wiii ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)