Meter Swap Request Number: 15437
Public works Division
Service Request
Problem Address: 31 Talmadge Way Requested By: Charles
Departme�: WA1ER Address: No address provided
Problem/Isaue: IN5TALL AMR METER Phone Number: 612-990-34�1
SchednledDate: 2017-OS-22 ��rSchednle Tlme: 0'7:00:00
�Y? 2z GZ
ACIION NEEDED:
Created by: Wendy Hiatt Ds�te Created: 2017-OS-18
A�ON T .
Y ��A�1 `^''Y
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Status: In Progress 5abmitter Hps Been r
Contacted
Date Completed: Completed by:
�" 22- I� -T �,�
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City of Fridley 3�s --. �� `7�� �1 �'1
• Water DepV rtrnent ���
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. 6431 Universi Avenue NE ����
Fridley,MN 55432
763-572-3566
f jwe hereby authorize the City ot Fridiey and/or its employees to do what is necessary to
replace the water meter. i understand that the property awner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr while tloing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READtN (old meter) �����"
Name: ��� Address � 1 ����. e
Phone Number `����� v���p�e ���� `�
Signature Witness Signature
OLD METER#_�10� �`o��
OLD READING ��E� k7 O �
NEW METER# "i"� (��� I O�
NEW READING O
ERT# �' ��J � ���
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 wnstructing or repair of arry water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contrador shall be required to obtain a permit for such cannedion,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notPfied. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connecCion and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.�6 REPAIRS AND MAINTENANCE TO CONNECTiON
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail 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 se�vice or repairs be performed by the City,the property owner shail be charged for the costs af the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility af the applicant,
owner,occupant or user to perForm standard maintenance of the sewer senrice line from the premises to the main induding debris dearing o�
root cutting and to mairrtain the water service curb stop boz for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
,