Meter Swap �
�, Request Number: 14792
Public Works Division
Service Request
Problem Address: 5433 Horiwn Dr Requested By: Ste�en Miller
Department: WATER Address: No�ddress provi�d
ProblemlIssue: IN5TALL AMR METER Phone Number: 763-502-6723
,�,
;, �Scheduled Ds�t • 2017-04-21 Scheduled'lime: 08:30:00
. C S� 3 0
A(."TION NEEDED:
Crestted by: Wer�y Hiatt Date Created: 2017-04-19
��`�,�, AC71ON TAKEN:
�� -���.��� ����--__
,,5. __ ..__ .__..._._.._......._ ________.__..._.._...
�.:;::
..._....._._...�..�........�.._.. �:.�,..�....._.____.__.._. __........._......__ ._._._._.....__..__.._.__.._..._w..
�: ..
Statos: Tn ProgFess 5ubmitter Has Been �.,
Co�acted
Date Completed: L����^ �� � Completed by: ���
t-
'`�.
. :�
�-��
�°;�
��
,�'���,
.
!��-� �5 I �l �v- � I
. S� �--�-���
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
rep{ace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) 1 also hold the City of Eridley as�dJits employees fiarmless for arry damages that may ocaar while dofng this
operation. This to include,but not limited to vafves,piping,walfs,floors or the curb stop box and service line. In u�derstand 1 am also required
to obtain a permit prior to any work,ff necessary.
F1NAL METER READIN6(old meter) ✓��� ��O
Name: ����V�. 1�1�Vr� Address _ J"l�� ��0�1i��" �r�
Phone Number /��" ��'—tl� /�� Date �— �� `�
-�..
Signature Witness Signature
OLD METER# C� `� �PZ�o
OLD READING �� 4 / �"'�
NEW METER# � f�� ����
NEW READING �
ERT# l �� � �73��
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 munictpal system and any house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaii be notified. It shall be unlawful to cover
any connecting line u�ti!an inspection has been made and such connectlon and the work incident thereto has been approved by the City as a
qrope�and suitable connection.
402.06 REPAIRS AND MAIPITENANCE TO CONNECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been e�ctended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer tines 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 Ctty,the property owner shall be charged for the casts af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry, it shatl be the responsibility of the appllcant,
owner,occupant or user to perform standard maimenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiN ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)