Meter Swap i �
Request Number: 14650
Public Works Division
Service Request
Problem Address: 193 Crown Rd Requested By: Chris
Department: WATER Address: No address provided
� Problem/Issue: INSTALL AMR METER Phone Number: 612-251-6099
� Scheduled Date: ' 2017-04-18 Scheduled'I3me: 08:00:00
� : O
_�,:,:
AC�1�� �
`�ED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAI�N: �
...................................___..._........................�_v�.S�..�.���_............__..._____.___................. �%`�-___._................ _..........._.......___.___.._____.._......�.....
�ii'1
Status: In Progress Submitter Has Been G,
,,,,,
Contacted
Date Completed: �..,� (}� �� Completed by: ���
Vv
_� '��
,c.
a ,
�✓
� � ,� �`�
e;
��
. . .���:�. �e,:,, .
. t � � �� J� j���" (�r/
City of Fridley
Water Department �� � �� �d
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what o necessary to
replace the water meter. I understand that the property owner is liabie for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) i also hold the C'�ty of Fridley and/Fts employees harmless for ariy damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walis.floors or the curb stop box and service line. In undentand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� �� �
Name: V• vr lt� Address � 4� l�+ (,1�'VL, �,
Phone Number t,.YY�..+� ��1�' tUV�� Date � ^ '�� � �
�
Signature WRness Signature
OLD METER# �� ���� �
, �-
OLD READING � `� ��v
NEW METER# � 1�� / � "'�
NEW READING �
ERT# �7�a a � a �f 7
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 PERMlT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
applicatioa is made,the owner or contractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DeparpneM shall be notified. tt shall be unlaMrful to cover
any conneding 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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke kad has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property awner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main indudi�debris ciearing 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)