Meter Swap �
.= Request Number: 14783
Public Works Division
Service Request
Problem Address: 5132 Clearview St Requested By: Karen&Mike Ziegler
Deputment: WA1ER Address: No address provided
Problem/Issue: IlVSTALL AMR METER Phone Number: 572-1890
Scheduled Date• 2017-04- 0 � Schednled'1Z�e: 07:30:00
n 2d' '3
ACIION NEEDED:
4
"9�_
Crexted by: Wendy I�iatt Date Cres�ted: 2017-04-19
ACIION TAKEN:
-�-��.,1��
Status: In Progress ���er IiAs Been �.,
Coututed
Date Completed: �_�� ,`7 Completed by: �kZo
.
� or�- �a t.�o -o �
City of Fridley S �����
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�lWe hereby authorize the City of Fridiey and/or its employees to do what is necessary to
repface the water meter. 1 understand that the property owner is Itabie for the water li�e from the main to the premise and all interior
piumbing. (Per City code 402.06) I also Mold the City of Fridley and/its er►�ployees harmless for arry damages that mey occur whtle doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� O���
Name: ��i � , '�r Address �l�� V}�C�.-����C�tS 'j} .
�
Phone Number � I� ' `� I.O Date -l ^�r � �
Signature Witness Signature
OLD METER# V� � ��l���
OLD READING_ � \�Vi- l�
NEW METER# ` ��v ��� �
NEW READING �
ERT# f ����JVO
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
AOMINISTRATION
(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 of sewer line connecting the existing municipal system and any house or IwiWing for which the
application is made,the owner or contrector shall be required to obtain a permit for such connection,and sfiall pay a permit fee as provided in
Chapter 11 of this Code. After such con�ectio�has been made,the Water and Sewer Department shall be notified. It shall be unlawful to wver
any connecting line until an inspedion has been made and such wnnedion end the work incident thereto has been approved by the qty as a
proper and suitabfe connection.
402.06 REPAIRS AND MAINTENANCE TO CONIYECTION
After the initial cannection has been made to the water service curb stop box or the sewer lead at the property line or a water serv�lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of wch premises shaN be IiaWe for all repairs
required to any water line and sewer lines necessary for connection aF 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 cos�of the maiMenance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer seroice line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service wrb stop box for operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)