Meter Swap .
Request Number: 14986
�
Public Works Division
Service Request
Problem Address: 4748 2nd St Requested By: Don Giiles
Departmcnt: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-572-8957
Sc6eduled DA�e:.----. 2017-05-02 �heduled'Ilme: 07:OO:OU
� n�
ACIIOAI NEEDED:
G�e�ed by: Beth Ko�rick Unte Created: 2017-04-27
ACTION TAI�N:
>U�-� � ��� �
__. ___......__..__._........._....._. .____ .______._.���'�-_____._
.
.:_:
__....._____.__....__......_..__...____ __ _____.__ �._ .______._ _______._..._..�..�..�
. � � . .,,F;�. �,�f
ir .
Statua: In Progress Sebmitter H�Bcen r, ,�
Contacted
k
� E
`: � ,
Daite Completed: [��_ ` Coe�pleted by: ���r� '•�
7 �
���r ����oOr D �
�N •! ✓U V I
` City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to da what is nec�essary 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 irrterior
plumbing. (Per City code 402.06) I aiso hold the Ciry of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,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) �V l � v D
Name: �G� � ��.I�S Address `� _` v �V`'� �•
PhoneNumber ����77�` C� ``)� Date_ '�` ^ � (
Slgnature Witness Signature
OLD METER# �`-' 1 ���
OLD READING ��k/ r ''"W�v
NEW METER# ��V"'�" ��
NEW READING d
ERT# � ` �� � � �
FRIDLEY CITY CODE ��
.�.�, '�.;�
CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER �y�
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 line connecting the existing municipal system and any house or buqding for which the
apptication ts made,the owner or contractor shatl be required to obtain a permit for such oonnection,and shall pay a per+nit fee as provided irt
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notif'ied. 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 the City as a
proper and suitable connection.
402.06 REPAIRS AND MIUNTENANCE 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 service lead has
been extended to the property line for connection,the appiicant,owner,or occuparit or user of sucf�premises shaii be tiable for aii repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. ff the properly owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the�of the mai�enance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsil�lity of the appli�M,
owner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)