Meter Swap ,
Request Number: 13040
Public Works Division
Service Request
Problem Address: 1508 S Timber Ridge Requested By: AYm Fssling
Departme�: WATER A�ddress: 1508 S Timber Ridge
Friclley,MN 55432
Problem/Isa�ce: INSTALLAMRMETER PhoneNumber: 651-261-5941
Schednled Date: 2017-01-31 Sc6edeled 1ime: 08:00:00
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AG'IION NEEDED:
Cre�ted by: Beth Kondrick Date Crested: 2017-01-24
ACrION TAKEN:
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Status: In Progress ��ner Haa Bee� r,
Contacted
Date Completed: Completed by:
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iNVatea-De�artrnent /
6431 ilnives-sit'/Avenue NE ���.r 7/L���� ��
Friciteyg MN 554�2 �j L�
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763-572-3566 �(�'i '
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1/we hereby authorize the�'rty af Fridley and/or its empioyees to do what ds necessary to
replace the water meter. 1 understand that the properky s>wner�s liable for the water line from the main to the premise and all i�erior
plumbing. (Per City code 402.06j i atso hold the City of Fridley and/its employees harmless#or any�lamages that may occur while doing this
opee�ation. This to snclude,but not limi#ed�o valves,piping,walis,floors or the curb stop box and service tine. In understand 1 am also require�
to obtain a permifi prior to arry work,if necessary.
FINAL METER READIfNG(ol meter) L � �J���
lVame• ��'1 Address �O� � �1��
Phone Number p� 1'��r" ` �
S'g°�"� Witness Signature
OtD METER# f � br� t ��
OLD READtNG I fJ �S���
NEW METER# '�6d�� ����,�.
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NEW READfNG C�
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
�Ref Ord No 113,464,565,566,629,638,662,922,9$8,I144,i156,1191}
402.5 PERMiT FEE
Prior to constructi�or repair of any water of sewer rne connecting the existing municipal system and arry hause or building for which the
application is made,the owner or cor�tractor sha(1 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 DepartmeM shall he not�ed. tt shail be unlawful to cover
any coonecting line until an inspection has been made and such connection and the work inaderrt thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AR1D MAINTENANCE TO CONNEC770N
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property iine or a water xrvice Iead has
been extended to the property line for wnnection,the appiicarrt,owner,or accuparrt or user of such premises shali be liable for all repairs
required fio any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance senrice or repairs be performed by the City,the property owner shall be charged for#he c4sts of the mairrtenanoe and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibil'rty of the appticarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main iacluding debris clearing or
root cutting and to mairrtain#he water service curb stop box for operabil'rty and at such height as wiU ensure that it remains abrnre the finished
grade of the land or property. (Ref 638,1156,1191)