Meter Swap '� ��i�'�- J`���'��--��'�Sv
INSTALLATION
ca.noF AUTOMATfC METER READER
FRIDLEY
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Old Meter Reading t� � '�,
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Replacement Reading �
Replacement Make � _
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City of Frid{ey
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of 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 tine from the main to the premise and ali interior ptumbing. (Per Gty code
402.06) i also hold the City of Fridley andiits employees harmless for any damages that may occur
whi{e doing this operation. This to incfude,but not limited to;vafves,piping,walls,floors or the curb
' stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meterj � ����
Name• Address• �.J� — v���7
Phone Number: Date: �'0�,�_
Signature:
. Witness Signature: �-Y�
FRIDLEY CIl'Y CODE
CHAPTER 402.WA'fER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buiiding for which the application is made,the owne�or contractor shali be requi�ed 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 Sewer Department shall be notified. It shall be unlawful to cover any conneeting tine until an
inspection has been made and such connection and the work incident thereto has 6een approved by the City as a
proper and suitable connectio�.
402.06. REPAIRS AND MAlNTENANCE TO CONNECTION
After the initiat connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the appficant,owner,
or the occupant or user of such premises shalt be liabie for all repairs required to any water fine and sewer tines
necessary for connection of fhe premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the Ciry,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shali be the responsibility of the applicant,owner,otcupant or user to perform standard maintenance of
the sewer service line from the premises to the main inciuding debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wil)ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 6208
Public Works Division
Service Request
Problem Address: 6101 6th St Requested By: Star Schw�een
Department: WATER Address: No address provided
Problemllssue: OTHER(WATER) Phone Number: 763-571-5188
Scheduled Date: Scheduled Time:
ACTION NEEDED: Homeowner says her yard has sunk slightly ov�er the past 1 1/2 years and now her standpipe
is e�osed. Please check.
Created by: Wendy Hiatt Date Created: 2013-05-29
ACTION TAKEN:
1�� �E� G���L�N�
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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