Meter Swap l� , � `
Request Number: 15251
Public Works Division
Service Request
Problem Address: 148 Gibraltar Rd Requested By: Debbie Steffen
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL t1bIIt ME'IER �hone Number: 763-706-3631
Scheduled Dxte: 201�-05-23 Scheduled 1lme: 07:00:00
� �
AG"IION NEEDED:
Created by: Wendy Hiatt Date Crexted: 2017-OS-10
ACTION T�N: �
_�V�,�.�a._1�.1....�_. �� .._._____...� _..
Status: In Progress Snbmitter Has Been r,
Co�acted
Date Completed: Completed by:
Hours � �
S�23! Ir1 �`1
,� ,
�
City of Fridley
Water Department L , �����
6431 University Avenue NE ��+ r�
Fridley,MN 55432 u t ��
763-572-3566 �� �
I/we hereby authorize the C'ity of Fridiey and/or its employees to do what is necessary to
replace the water meter, 1 understand that the property owner is liabie for the water line from the main to the premise and all irrterior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to inc(ude,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 prio�to any work,if necessary.
FINAL METER READING(oid meter) ��O ���4
Name: �P/�e, ei� Address �� 1� G t�� � �
Phone Number�����v'� � � Date ��� `�
Signature Witness Signature
OLD METER# ��������
OLD READING v�O�" r"`O
NEW METER# `�'������
NfW READING �
ERT# � Z J��..� V 4-��
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 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall p;ry a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has 6een approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has bee�made to the water service curb stop box or the sewer lead at the property Une or a water service lead has
been extended to the property line for wnnection,the applicant,owner,or occuparrt or user of such premises shait be tiable 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 owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility af the applicarit,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main induding deb�is cleartng or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)