Meter Swap • r
� Request Number: 12703
Public Works Division
Service Request
Problem A�dress: 7300 Symphoxry St Requested By: J�es Sa�dquist
Department: WA1ER Addresa: No adc�cas provided
Problem/Issue: INSTALL AMR MEZER Phone Number: 786-5711
Schedaled Dnte: 2017-01-04 � Sc6e�eled Tlme: 01:30:00
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AG7ION NEEDED:
Crested by: Wendy Hiatt Datc Creatad: 2U 1�-01-03
ACIION TAI�N:
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Stat�: In Progress Submitter Ha�Bees r
Co�aeted
Date Campleted: i �' � -" �,� Completed by:
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City of Fridley � �� , J
Water Department S l,� ��
6431 University Avenue P1E �
' ' Fridley,MN 55432 � �S'� �y�v '
� 763-572-3566
i/we hereby authorize the City af 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 line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box end senrice line. In understand i am also required
to obtain a permit prior to any worlc,if necessary.
FINAL METER READING(old meterj �`� y����
Name:�aY'^'e� �e�.� 1Mi`i�� Address l��� ����Vv`-/ S'� �
PhoneNumber ��� ~ �� p� �' `�`�
�S� nature "'��
� Witness Signature
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OLD METER#_ �� ` �� ���
OLD READtNG ��� ���
NEW METER# ����1� ``V'��,
NEW READiNG �
E�# c�,� 8 � � � '��7 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNlSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting ifie existing muniapal system and am�house or buiidi�for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided i�•
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmerrt shall be oottfied. it shali be unlataful to cover
any connecting line untii 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 CONNECTION
After the initial connection has been made to the water service arb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or accvpant or user af such premises shall be liabk 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 onrner
requests mai�rtenance service or repairs be performed by the City,the property owner shall be d�arged for the costs of the mairrtenar�ce and/or
repairs,including necessary street repairs at a rate set annualfy by an administrative po(iry. R s6a0 be the responsibility of the appiiprrt,
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 operabil'rty and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)