Meter Swap ' Request Number: 15230
Public Works Division
Service Request
Problem Address: 4839 2nd St Requested By: Richard Evans
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Numi�er: 574-9742
Scheduled I�te: 20 - 5-10 � Schednled 1tme: 07:00:00
I�� b
`J
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-09
ACTION TAI�N:
.............�..����_�._ '��1;�--._.-_-____.___.__...._.__.___....._.__..�_. .__..__.
Status: in Progress Submitter Haa Been r.
Coniacted
Date Compteted: Completed by:
�- 1 C�- 1�1 `� �--
�
l�(- �����D �
� City of Fridley /� , !�/� y..�
' Water Departrnent SU # �� «�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City af Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) { �����D
Name: �t LI'�LJIXC ��JQ�.rI� Address ��� �Y� ��
Phone Number ��� `��� p� � �V ���
Signature Witness Signature —
OLD METER#„�� ��
OLD READING � J� � ���
NEW METER# `�[ f�-t-V����
NEW READING �
ERT# � � �� �y O�
FRIDLEY CITY CODE
CHAP'TER 402.WATER,STORM WATER AND SANITARY 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 any water of sewer Iine connecting the existing municipal system and any house or buiWing 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 li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It 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 tfie City as a
proper and suitable connection.
A02.06 REPAIRS AND MAINTENAPICE 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 ser�iCe kad has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail be liable for all rcpsirs
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 perFormed by the C'�ty,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responslbility of the applicar�t,
owner,occupant or user to perform standa�d maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as witl ensure that it rematns above the finished
grade of the(and or property. (Ref 638,1156,1191)