Meter Swap ` Request Number: 15463
Public Works Division
Service Request
Problem Address: 160 Talmadge Way Requested By: Greg A�cicerman
Depsrtment: WATER Address: No address provided
Problem/Ysaue: IN5TALL AMR METER Phone Number: 763-242-S208
Scheduled Date: 2017-06-02 d Schednled T1me: 01:00:()0
� r � �
ACIION NEEDED:
Created by: Wendy Histt Dxte Created: 2017-OS-19
ACTION TAI�N:
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Status: In Progress Submitter Hss Been r.
Contacted
Date Completed: Completed by:
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� City of Fridley S b� / /�„(��
. Water Departrnent �C
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��`^�e hereby authorize the City of Fridtey and/or its employees to do what is necessary to
replace the water meter. I 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) 1 aiso hoid the City of Fridley and/its employees harmiess for arry damages that may ocxur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In undentand i am also required
to obtain a permit prior to arty work,if necessary.
FINAL METER READING(oid meter) � �� / �
Name: � Address � t
Phone Number � // � ✓�� te ��� v 1
�/Sign�� Witness Signature
OLD METER# `� v��O c��
OLD READING "f �Zk� �T ��
NEW METER# �'C,"1,�����
NEW READING_l J
ERT# T12Z Z`� � �`b
F�io«r cinr couE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,565,565,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
P�ior to constructing or repair of any water af sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contrador shail 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 has been made,the Water and Sewer DepartmeM shall be notified It shali be unfawful to cover
any connecting�ine until an inspection has been made and such connection and the work incider�t thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS APID 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 lead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such qremises shall be liable for ail repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shaii be charged for the wsts of the maiirtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user fio perform standard maintenance of the sewer service line from the premises to the main including deb�is clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)