Meter Swap Request Number: 15491
Public works Division
Service Request
Problem Address: 211 Stonybrook Way Requested By: Jeff Hein
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Department: WATER Address: ' No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 952-381-4838
Scheduled Date: 2017-OS-23 Sc6ednled'llme: 01:00:00
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ACTION NEEDED:
„ Cre�ted by: Wendy Hiatt Date Created: 2017-OS-22
AC7ION TAI�N:
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Status: In Progcess Submitter Has Been �
Co��ted
Date Completed: �' �� Completed by: �
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' City of Fridley
Water Departrnent �" ,.-� � �33�
6431 University Avenue NE �E�
Fridley,MN 55432
763-572-3566
��We hereby authorize the�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water Pne from the main to the premise and ali iriterior
plumbing. (Per C�ty code 402.06j I also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but aot limited to vatves,piping,wa{Is,floors or the curb stop box and senrice line. In understaad t am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READIIVG(old meter) � � � " I V v
Name• �`Q.� ��i�,� Address �'�/1 K—
Phone Number ���— 3�4 � ���� Date � �� r ��
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Signature Witness Signature
OLD MfTER# ""`� �� ��./
OLD READfNG " � �� ���
NEW METER# `��'0� �� I�U
NEW READING �
ERT# bd-'�� �� ��
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 PERMtT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for whith the
application is made,the owner ar contractor shalt be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of thfs Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be unlawful to cover
any connecting tine until 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 COMPIECTION
After the initiai connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water senrice iead has
been extended to the property line for connection,the applicant,owner,or occuparrt o�user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connectio�of the premises from the main to the prerriises. If the property orvner
requests maintenance senrice or repairs be performed by the City,the property owner shaii be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. lt shail be the responsibitity of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain 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)