Meter Swap = Request Number: 16135
P�blic Works Division
Service Request
Problem Address: 81?1 Ruth Circle Requested By: Mazia
Department: WATER Address: No address provicled
Problem/Issue: INSTALL METER Phona Number: 612-619-5923
Sche�nled Date: 201 -08-30 Scheduled Time: 07:00:00
A �
L�1.110�1\�•��•fJLLi
Created by: We�dy Hiatt D�te Cre�ed: 2U1'1-06-26
ACIION TAKEN:
....._...._�_.Ir.�;�.�-�._�.�.....__....�'��.. ._ _ __._
St�tus: In Progress Submitter Has Been �..
Contacted
Dstte Completed: Completed by:
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City of Fridley � y� , I�.��
� Water Departrnent �j ���'
G431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�lWe hereby authorize the City of Fridley and/or its employees to do what'ss necessary to
replace the water meter, i understand that the property owner is liable for the water line f�om the main to the premise and all iMerior
plumbing. (Per City code 402.06J I also hold the City of Fridley and/its employees harmless for any damages that may ocau while doing this
operation. This to include,but not limited to valves,piping,walls,fbors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(oid meter) � ����" '�
Name: 1'��I�i"' '"" Address ��� � �� \���
Phone Number �� ✓�G� � pa� � '� �� � �
St nature ` Witness Signature
OLD METER# {`F�J� ���
OLD READING � ���5�✓ •
NEW METER# t-1 J��� � 1
NEW READtNG V
ERT# � �� I ��� �
FRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AIYD 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 o�repair of any water of sewer fine connecting the exisCing municipai system and any house or buiiding for which the
application is made,the owner or corrCractor shatt 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 Oepartmer�t shall be notified. It shal!be unlawful to cover
any connecting line untif an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial corin¢ction has been made to the water service curb stop boz or the sewer lead at the property tine or a wate�servike lead has
beec►extended to the pmperty line for connection,the applicant,owner,or occuparit or user of such premises shall be liabte for aN repairs
required to any water line and sewer lines necessary for connectfon of the premises from the main to the premises. {f the property owner
requests maintenance service or repairs be performed by the City,the property owner shal{be charged for the costs af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shail be the responsibility of the applicant,
owner,occupant or user to perform standard mair►tenance of the sewer senrice line from the premises to the main includirig debris clea�ing or
root cutting and to maintain Che 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)