Meter Swap i
Request Number: 8131
Public Works Division
Service Request
Problem Address: 367-66th Av�e NE Requested By: Eric Burns
Department: WATER /�ldress: No address provided �
Problemllssue: INSTALLAMR METER Phone Number: cell only 612-328-1841
Scheduled Date: 2014-07-03 Scheduled Time: 08:00:00
(XS• w� � � �=CJI�
.:,
ACTION NEEDED: InstallAmr
Created by: Cheryl Pellegrin Date Created: 201406-18
ACTION TAKEN:
.........................................................:...................................................................................................................................................................................................................._....................................................................._..........._..__................._._....................._
__�i�..�T.��-�..............�.�._..�....7...._�7.......3...:�.._g.�.........................................................................:........._..................................................._...__.............:......_.........................._ -�
��� � ��-- �1�Z 3 �O�
............................�......_�:........................................................................................................................_........................................................................................._. _.
... ........................................._.._...................._.................__........................._
��� w�T��� ��� �-�� 3 0
.................................._..............................................................................................................................................................................................................................................._....................................._...._.............._............................._.__..................______.._
. .
�.;�.:...:_4.-��.-i.-.�.�.......-....... :...:......................................................................................................................................................................................:........_......._..............................._.
��"� ��
_..........................................................................................1...:.�......���..�............................................................................................................................._......................................._..............................................._......_........................_......_
Status: In Progress Resident Contacted ❑
Date Completed: Completed :
'�;�
, ���
� � �
s
- City of Frid{ey
.- Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
���ye hereby authorize the City of Fridley and/or its
employees to do what is necessary to reptace tfie water meter. I understand that the property owne�
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 empioyees harmless far any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walis,ftoors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��3 � �O
Name• Address• �`�� `�' .� � -
� �
Phone Number• Date• � � �
Signature•
Witness Signature:
1 FRIDLEY CITY CUDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRAT'ION
(Ref Ord No 113,464,5fi5,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
ar building for which the application is made,the owner or contrector shail be required to obtain a permit for such
connection,and shail 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. lt shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connect�on.
402.06.REPAIRS AND MAiNTENANCE TO CONNECT10P1
After the initial 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 appiicant,owner,
or the occupant or user of such premises shall be liable for ali repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ty 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 repai�s, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer senrice line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191)