Meter Swap r
Request Number: 15086
Public Works Division
Service Request
Problem Address: 1520 S Timber Ridge Requested By: Barbara Bobrowitz
Depsrtme�: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-571-943'1
Scheduled�:., 2017-OS-04 � Schednled 13me: 01:30:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-01
ACITON T :
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Status: In Progress Snbmitter Has Beea r,
Contactcd
Date Completed: Completed by:
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City of Fridley ��� �v��
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-5T2-3566
I/we fiereby author�ze the City af F�id{ey andJor its empioyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all inte�ior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and�ts employees harmless for any damages that may occur whiie doing this
operation. This to include,but not limited to vaNes,piping,walis,floors or the wrb stop box and service line. In understand I am also required
to obtain a permit prior to any work�if necessary.
FINAL METER READING(old meter� � �� � ��
Name: _�C:I�Y� 1��N� � ' ��uddress �� ��✓ ��
Phone Number�������� v Vv�j�Date �'� �— \�
Signature \ Witness Signature
OLD METER# � �� v ���
OLD READING �"1 t�� ���
NEW METER# —1 � iO� ` �p �"'�
NEW READING �
ERT# ( 1 � ( ��� i
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 PERMIT FEE
Prior to construding or repair of arry water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner o�contractor shaU be requtred to obtain a permit for such connection,and sfiall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notffied. It shail be unlawful to cover
any connecting line until an inspection has bee�made and wch wnnection and the work incident tfiereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water sen+i�lead has
been extended to the propert�t line for connection,the applicant,owner,or occupant or user of such premises shall be liable 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 maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an admi�istrative policy. It shal!be the responsibility af the applicant,
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 fnished
grade of the land or property. (Ref 638,1156,1191)