Meter Swap R
, Request Number: 15355
Public Works Division
Service Request
Problem Address: 7106 Rirerw�ood Dr Requested By: Cazol Jaz�sen
Departm��t: WA1ER Address: No ac�ress provided
Problem/Iasue: INSTAL.L AMR METER Phone Number: 571-6534
Schednie te: 2017-05-26 Schednled Time: 01:30:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Ds�te Cre�ed: 2017-OS-15
ON TAKEN:
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Status: In Progress Snbmitter Ras Been r
Coirtacted
DateCompleted: � r,�� �� Completedby: ��`
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. City of Fridley /D � �,J��(�
Water Departrnent �� v�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to vah+es,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permk prior to any work,if necessary.
FINAL METER READiNG(old meter) �� 4� O � �
Name: �� `�'P.�, Address L�•�lD ����'�.SO� ��`'
PhoneNumber J�� � �� � p�e �r p�CQ "' ` J
i n re ~�
Signature
;
OLD METER# T`1� � �� �� V
OLD READING � �� l ���
NEW METER# � �R O'� S 1 L1�
NEW READfNG v
ERT# / ��� � l b �
FRIDLEY CITY CODE .
CHAPTER 402.WATER,S70RM 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 municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitabte connection.
40Z.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water servics lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be 1lable 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 mainteaante service or repairs be performed by the City,the property owner shail be charged for the costs of the mair�tenance and/or
repairs,inciuding necessary street repairs at a rate set a�nuatly by an administratire poliry. It shatl be the responsibil'�ty of the applipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)