Meter Swap 4
� Request Number: 15383
Public works Division
Service Request
__._..___----------- - - - — �
Problem Address: 868 2nd St Requested By: Bri�Forsythe
Department: WA'IER Address: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 651-707-7818
Sc6eduled t • 2017-OS-17 � Schednled 1Ime: 07:OO:OfI
� ,
ACTTON NEEDED:
Created by: Wendy Hiatt Date Creuted: 2017-OS-16
AC110N TAKEN:
���.[..1.............._��_...._...�._....._ ____.___
Status: In Progress Snbmitter Has Been r.,
Contacted
Date Completed: Completed by:
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I o l� �c�c�o � �� 3
� City of Fridley
Water Departrnent �
6431 University Avenue NE �a � �1 1 1
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridiey and/or its employees to do what is necessary to
repiace 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) I aiso hold the City af Fridiey andrts employees harmless for arry damages that may�cur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop bnx and service line. tn understand i am a{so required
to obtain a permit prior to any work,if necessary.
FiWAL METER READING(oid meier) O
Name• �A � � � Address � � `� �� v�
Phone Number��tJ ����" ��� Date � 1�� 1 /
Signature WRness Signature
OLD METER# "1�� � ���
OLD READING � `�"� ��O
NEW METER# �� 6 r��
NEW READING _�
ERT# � ��� �`��'�/
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AIYD SAPIITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing or repair of a�y water of sewer(ine connecting the existing municipaf system and any house or buNding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Oepartment shall be notified. It shail 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 Ciry as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
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 seroice lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for aii 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 service or repairs be periormed by the City,the properly owner shall 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 shall be the responsibility af the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting ar�d to maintain the water service curb stop box for operabil'rty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)