Meter Swap � �
Request Number: 16050
Public Works Division
Service Request
_--------_.___._____-------____—_._.---_.�
Problem�1lddress: 6427 Christenson� Requested By: Jermy Petersen
Department: WATER Address: No address provided
Problem/Isaue: INSTALL AMR METER Phone Number: 612-483-3373
ScheduledDate: 2017 6-21 Scheduled'iime: 01:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt DAte Created: 2017-06-19
ACTION TAKEN:
5tatus: in Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
� City of Fridley / Q� '' � �? I�� � �[L
,� Water Department �G T
6431 University Avenue NE � � -4� ��
Fridley, MN 55432
763-572-3566
1/we �G� Lr/'���.'� hereby authorize the C'rty 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 line trom the main to the premise and ali interior
plumbing. (Per City code 402.06j t also ho�d the City of Fridley and/its employees harmtess for arty damages that rnay ocxur while doirtg this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand i am also required
to abtain a permit prior to any work,if necessary.
FINAL METER REAQING(old meter)
Name: lLCU� G►/auu�,r�! Address �2� Gfi1�'�7� �.6'Z /`�E�� �ic�lz�'GN�l�'r�"5��3�
PhoneNumber pa� �v���/�
Signature Witness Signature
OLD METER# L U G / ���
O!D READING O?�D ?�� ,�
��k
NEW METER#_ `� 1�`�� � Cj
NEW READING �
ERT#_�I� ��Gj��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiNISTRATtON
(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 arry water o�f sewer line connecting the existing municipal system and arry house ar buiiding for whkh the
application is made,the owner or corrtractor shail be required to obtain a permit for such connection,and shall pay a perntit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be not�fied. ft shatl be unlawful to cover
any connecting tine u�til an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEAIANCE TO COPINECTION
After the initiai connection has been made to the water senrice curb stop box or the sewer lead at the property line or s water seri�ce lead has
been extended to the property line for connection,the applicarrt,owner,or occuparrt or user of wch premises shall be liabie for ail repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. if the property owner
requests mairrtenance service or repairs be perfortned by the C'ity,the property owner shail be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative policy. It shall be the responsibility af the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191�