Meter Swap - � Request Number: �
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Service Request
Problem Address: 7351 Symphouy St Reqneated By: Jay Andreas
Departme�: WATER Addreaa: No ad�ess provided
Problem/Iss�u: INSTAL,L AMR METER Phone Nnmber: 612-701-6620
Sc�eduled Date: 2017-01- Sehedal ed'I1me: 42:00:00
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AG7ION NEEDED:
Cre�ed by: Wendy Hiatt Date Created: 2017-01-05
ACTION TA1�N: � � �
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Stat�u: In Progress 5abn�itter Ha�Beea r,
Contuted
Date Compteted: Completed by:
.
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�i�/orrr�aoey � ��' Scr'��,j�l7 "'t�l
Water Departrnent
6431 University Avenue PIE � o ( � a
Fridley,MN 55432
t� 753-572-3566
,
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace#he wafier meter. !understand that the property owner is liable for the water line f�om the main to the premise and all interior
plumbing. {Per City code 402.06) i also hold the C'fij of Fridley and/its employees harmless#or eny damages#hat may occur while doing this
operation. This to inciude,but not lim�ted to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to ariy work,if necessary.
FIMAL METER READING(cld meterj�� � ����
Name:� � ���C"�;� Address ! �� � �Y h't-�rW� ��
Phoae Number ��2 �b (— b��EJ Date_ �' `� ��
x5ignature � . _ Witness Signature �' .
L�
OLD METER# � l� 1����2-
OLD READtNG O� -(� ���
NEW METER# �� �` �`o��
NEW READING D
E�# � � � lO� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or butlding for which the
application is made,the owner or contrador shall be required to obtain a permit for such�nnection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. After such connection hes been made,the Water and Sewer Department shati be notified. It shaii be untawful to esover
any connecting line until an inspection has been anade and such wnnection and the work inciderrt thereto has been approved by the C1ty as a
proper and suitable connection.
402.06 REPr41R5 AND MAflYTENAMCE TO CONMECTION
After the initial connectio�has been made to the water service parb stop box or the sewer lead at fihe property line or a wa�r service lead has
been extended to the property line for connection,the appliqrrt,owner,or accuparrt or user of such premises shall be tiabie far 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 service or repairs be performed b�r the City,the property owner shall be charged for the costs of the mairttenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. it shatl be the responsibii'rty of the applicarit,
owner,occupant or user to perform standard mair�tenance of the sewer service tine from the premises to the maio induding debris cfearing or
roofi 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
grede of#he land or property. (Ref 638,1156,1191)