Meter Swap , Request Number: 15432
Public works Division
Service Request
Problem Address: 144 Talma�dge Way Requested By: Cheryl Collins
Departmeat: WATER Address: No address provided
Problem/Isaue: INSTALL AMR ME1ER Phone Number: 571-2321
Schedaled Date: 2017-OS-22 �Schednle�Tlme: OZ:00:00
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ACIION NEEDED:
Created by: We�y Hiatt Date Cre�ed: 2017-OS-18
AC7ION TAI�N:
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Status: 1n Phrogress Sabmitter Ha�Been r
Contacted
Dxte Completed: Completed by:
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• �� 5 - �20� - 01
• City of Fridley ,`/�
Water Departrnent S�� K �/��
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all imerior
piumbing. �Per City code 402.06j I also hotd the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to walves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� � ��
Name: �_ Address (
Phone Number � � �c��� Date � ��� U�
Signature Nfitness Signature v l�
OLD METER#_�i��� �Z I�
OLD READING_ V � �� �OV
NEW METER# � �-I v�� +►-�� 1
NEW READING�
ERT# � ��J J �v� (�-
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 constructing o�repair of any water of sewer tine wnnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall 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 Sewver Departrnent shaU be notified. It shail be unlawful to caver
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 suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial connection has been made to the water service wrb stop boz or the sewer lead at the property line or a water senrice lead has
been extended to tfie property line for connection,the appiicant,owner,or occupant or user of such premises shail be IiaWe for all repairs
required to any water line and sewer lines necessary for connectio�of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as wi{{ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)