Meter Swap Request Number: 15392
�
�� Public Works Division
Service Request
Problem Address: 4781 2 1/2 St Requested By: Shaun Scott
Department: WATER Addresa: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-639-1587
Scheduled Ds�te: 2017-OS-22 Schednled'IIme: 10:00:00
�� O
ACTION NEEDED:
Created by: Wendy Hiatt D�te Cre�ted: 2017-05-17
ACTION TAI�N:
....�...._..__.........._�_____�......�...._._._.__.`_;v!.....�:_..al......}..�:.�!:�.r�.1...........__......._.._...����"._.��..._._...__.__._.._. ____.__
Status: In Progress �bmitter Haa Been r,
Contacted
Date Completed: 4� �� �� CoHtpleted by: J�k..�
Honrs �� �
City of Fridley �O� 7 ( � ���-(��
� ` Water Departrnent
� ` "� 6431 University Avenue NE --_�✓�/ �`"
� Fridley,MN 55432
763-572-3566 c�� � ���
v
���� hereby authorize the City of 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 tine from the main to the premise and all irrterior
plumbing. (Per City code 402.06) t atso hold the City of Fridtey and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited tu valves.piping,walls,flears or the curb stop box and service line. In understand I am atso required
to obtain a permit prior to any worlc,'rf necessary.
FINAL METER READtiYG(otd meterJ ��� ! �� �
Name. �'`'�'�'l i'�. J�A �� Address_� 6 U ) � � ��-
Phone Number t�e��Vd�J-/ "1 J� l p�e �j' ' �,�,�' t� .
Signature Witness Signature i
OLD METER# �� w �� ��
OLD READING o $�v� 1`7� �rw�b� �� a-�-F�r (/�� � �-
v
NEW METER# � q� a �� ��
NEW READING �
ERT# � � � � � � I �
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Aia 113,464,565,566,629,638,662,922,9$8,1i44,1156,1191j
402.5 PERMtT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and ariy house or building for which the
application is made,the owner or contractor shall be requlred to obtain a permit for such connection,and shaU pay a permit fee as provided in
Chapter 11 of thls Code. After such connection has been made,the Water and Sewer Departmerrc shall be nottfied. ft shall be unlawfa!to cover
any connecting line until an inspection has been made and such wnnection and the wor�c incident thereto has been approved by the Crty as a
proper and suita6le connection.
402.06 REPAIRS AND MAINTENANCE TO CQMNECTION
After the initial conaection has been made to the water service curb stop box or the sewer lead at the properly line or a water service tead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shatl be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premisea tf the property oweer
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including neceuary street repairs at a rate set annuaily by an administrative policy. !t shall be the responsibility of the applicaM,
owner,occupant or user to perform standard mairrtenaoce of the sewer service line from the premises to the main inc(uding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wilt ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j