Meter Swap �
�' Request Number: 14877
Public works Division
Service Request
Problem Address: 4780 2 1/2 St Requested By: Katheri�
Department: WA'IER A�ddress: No a�ess provided
ProbtemlIssue: INSTALL AMR ME1FR P6one Number: 612-220-2468
Schedaled Date: 2017-OS-01 Schedeled 1lme: 08:30:00
o� (1 l s� �- 3v
ACTION NEEDED:
;,;:`�;
Created by: Beth Koadrick Date Crexted: 2017-04-21
�r1C'IION TAI�N:
_� W�__...____�.�_�...�...��. __ __ �_________._______
__...____._____................................__._______._...._....___......._._._.._._.. �.____.__.__._.._...._.......___._....._____.______ .
.__.:�._.�.___..__.__._.___.....__..____._........__�._......_ __.________._._. _ _._..._....__.___.....__ �. �� .
� � :�F
.� -
..._.._..._____.____..._...___.._._..............._.__._._..........._....................._______�. _._._.______.__.__..___ ____._____.........��...�._._..._..___...�.._._
��. b
SabmiUf.�r Has Beee M-.
Status: In Progress f„�•-.
Conta�ted
�#
Date Completed: �.� I ,_ �y Completed by: ; �
l
;�,;;
�• r-,
f,
'�:
_�
.�, �°-
ti f�o �- � c�513Dro3
� S �
City of Fridley b� '
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the C'rty of Fridley•anaJor 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 ali interior
plumbing. (Per City code 4Q2.06) I also hold the City of Fridley and/'rts employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to vaives�piping,walls,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING oid met r � ��`� � � �
( e )
Name: "�Ql� '"`�'� 9�� Address �� � �}�� 5-f�,
Phone Number `���—�� — � /�(,J Date �� � ✓ `�
Signature Witness Signature
OLD METER# <
OLD READING __� r� �� �V �� S l'l.0`vtJ�'vl I 1 Gt-F�'fe 1' 2X `eS'n ,
NEW METER# `�`�'���� 1
NEW READING v
E�# �I ���2av5
FRIDLEY CiTY CODE
CHAPTER 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 wnstructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whkh the
application is made,the owner or corrtractor shaii be required to obtain a permit for such connection,and shall pay a permit fee as provided In
Chapter li of this Code. After sucb connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlavnful to cove�
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 suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service wrb stop box or the sewer lead at tfie property line or a wate�service iead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for ali repairs
required to any water line and sewer tines necessary for connectlon of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be periormed by the City,the property owner shall be charged fo�the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali be the responstbility of the applicant,
owner,occupant o�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 finished
grade of the iand or property. (Ref 638,3156,1191)