Meter Swap Request Number: 14570
, Public Works Division
Service Request
Problem Address: 5397 Altura Rd Requested By: Ms Jankowsld
Department: WA'IF.R Address; No ad�ess p�ovided
Prol�em/Iasue: INSTALL AMR ME'IER Phone Number: 571-2625
•s,
Scheduled Date: 2017-04-13 Sc6cdele�11me: 11:30:00
. � `
ri
A�G��'IION NEEDED:
:'�
C�eated by: Wendy Niatt Date Greated: 20I7-04-06 �
. A �i�r:. $ . . .
.::. :.6� "� <
� 7.'
ACIION TAI�N:
.,� c-�J T�-�11�4� '�.�
,`,�
Status: In Progress Snbmitter HAs Bcen C
Co��cted
Date Compieted: � ,� ��_ 1� Completed by: ��
�`
`;�
,� �
ld� � �� ��d��� �
City of Fridley (
Water Department � � �jS��
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do w�at is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise md�I;iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may oca�r�iid�this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand l a�t`�also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) V v �� ��
Name: �v�5 J���N� Address ���� ��� ��
Phone Number_ �� ( � �Z� Date 4~ `�� ��
-.�►.
Sig»ature Witness Signature
OLD METER# ��V ` � ��/
OLD READING v��` � vv
NEW METER# `��� � ` �
NEW READING �
ERT# � ��` 1 I ��I
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry ha�se or buildir�for whkh the
application is made,the owner or wntractor shall be required to obtain a permit for wch connection,and shall pay a permit fee a�s provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmen!shal!be notifled. It shall be unlawful to coaer
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service airb stop box or the sewer lead at the property line or a water service lead has
been extended to the property tine for coonection,the appficant,owner,or occupant or user of wch premises shail be liabie for sit repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property a�rner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts o�f the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the respoosibility of the applipM,
owner,occupant or user to perform standard 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)