Meter Swap �
'r Request Number: 12668
Public Works Division
Service Request
Problem Address: 7529 Tempo Terr Requested By: David Morris
Departmeat: WA'IER Address: No address pcovided
Proi�eis/Ias�c 1NSTAt,L AMR METER Fho�Number: 612-749-0351
Scbed�ed D�e: 2017-01-21 Schedale�Tlmc: 09:00:(a
2��'r-
ACTION NEEDED:
Created by: Wendy Hiatt D�tte Created: 2016-12-30
ACTION TAI�N: �
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Stat�: In Pro�ess Submitter Aas Been r,
Coutacted �`
Date Completed: Completed by:
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City of Fridley
Water Department
,..� 6431 University Avenue NE --z���--�. �����`� U �
r Fridley, MN 55432 � "
763-572-3566 5 � � � � �
�/We hereby authorize the City af Fridley 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 ail interior
plumbing. (Per City code 402.06) I alw hold 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 valves,piping,walis,floors or the curb stop boz and service line. In understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIpIG(old meter) �
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Name: L v� J Address �,r,�� [.�- \ 1 � �"` [—" �'�
Phone Number � �� � ��� I Date � �� �� ��
Signature ' Witness Signature �
OLD METER# I � ���
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OLD READING � �� �� S�v aY"`° �
NEW METER# ` �'�����
NEW READfNG
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ERT t�����+U ����
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AlYD SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMfT fEE
Prior to constructing or repair af any water of sewer tine connecting the existing municipal system and ariy house or buiidir�fo►which the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shell pay a permit fee as provided in•
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shali be notified. It shall be unlawfui to cover
arry connecting tine 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 MAINTENAIYCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line oc a water service lead has
been extended to the property line for wnnection,the applicant,owner,or occupant or user of such premises shall be Csabte for al{repairs
required to any water line and sewer lines necessary for connection of the premises from the cnain to the premises. If the property oarner
requests mairrtenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shalt be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debr�dea�ing or
root cutting and to maintain the water service curb stop box fo�operability and at such height as will ensure that it remaim above the finished
grade of the land or property. (Ref 638,1156,1191)