Meter Swap ,
4
Request Number: 15262
Public Works Division
Service Request
Problem Address: 4916 3rd St Requested By: Bryan
Departmcnt: WA'IER Address: No a�ddress provided
Problem/Iasuec INSTALL AMR METER Phone Numbcr: 612-309-6196
Schedu�ed�e: 2017-OS-11 Scheduled 11me: 11:30:00
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ACIION NEEDED:
Created by: Wendy Hi�tt Date Crented: 201'I-OS-10
ACIION TAI�N: �
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Status: In Progress Snbmitter Hna Bcen r.
Contacted
Ds�te Completed: �1 �'r�� Completed by: �
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City of Fridley
Water Department S�� ���p
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the p�operty owner is liab(e for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inclade,be�t not limited ta valves,piping,wa!!s,floors or the curb stop box and service line, In understand 1 am also required
to obtain a permit prior to any wor&,if necessary.
FINAL METER READING(otd meter) 5�� �� a
Mame: �YIlV' V.J� Y ��. Address_ � L 1�?� (JI '� ✓�' �
Phone Number ���� � � �`�� pate ���� ��t�' `
Signature Witr�ess Signature f�
OLD METER# ��✓ `���
OLD READING ,J��L�"�V
NEW METER# � `v��"" ` r�,
NEW READING v
ERT# � r �� �O� ! �
���uiEr ciTr co��
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNtSTRAi'ION
(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 eny water of sewer line connecting the existing marticipal system and a►ry house or buildtng for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shaii pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unfawful to cover
any connecting line until an irtspection has been made and such connectlon and the work incident thereto has been approved by the Cit�t as a
proper and suita6le connection.
402.06 REPAIRS AND MAlNTENANCE TO CONNECTION
After the ioitial connection has been made to the water service curb stop box or the sewer tead at the prope►ty line or a water ser�rice lead has
been extended to the property line for wnnection,the applicant,owner,or ocaipant or user of such premises shali be liable for atl repairs
required to any water line and sewer fines necessary for co�nection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perForm standard maintenance of the sewer service line f�om the premises to the main including debris clearing 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 tand or property. (Ref 638,1156,1191j