Meter Swap � ,
Request Number: 14668
Public Works Division
Service Request
Problem Address: 160 Horiwn Circle Requested By: Vrginia E�er
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-1020
Scheduled Date: 2017-04-18 Scheduled'ITime: 10:30:00
� / 1 I :
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-13
ACTION TAI�N:
................................................_...._.............................__._....:..�-�_�...�.�.�..._..._.....__..__......... _�::_�_:.__.._........._..........:_._.___...._................................
,.
_. *
............................................................._......._...............__._._......_...._........................_.__.............._.._..................__......._.._...._._.____...._...........__............................__.._._._..._........_.....�_.._.�.._�._�.._._......
��.
J
;,,�
Status: In Progress Sabmitter H�s Been, C,
Contacted
Date Completed: ���(� _�� Completed by: �0.\,(„
v �t'i
=��
; �,
,,�
:r
�
�� �. � 4�
� �
,,
�
.. ~ . x � �5�.��. . �
� �.
t
� � �� `t S � �"�� � ��
City of Fridley �� �� �
Water Department �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
t/we hereby authorize the City of Fridley and/or its employees to do what is neceuary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iirterior
plumbing. (Per City code 402.06) !also hold the C3ty of Fridley and/'rts employees harmleu for arry damages that may oaur w1�doing d�is
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. In understand li�fin also required
to obtain a permit prior to any work,if necessary. '
FINAL METER REA � �v+' ✓ `E."' �
�ING(slr meter)
Name: ����l1�� l�JG�' Address—��b ���6201/� ��rL��°.
Phone Number ���� ���`��V�� Date �� �V ~v 1 �
Signature Witness Signature °
OLD METER# ���� W �-
OLD READING ��� `�G� , �
�
NEW METER# 1 I�O ����
�
NEW READING v
ERT# / � � � ! � ( o�,
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 shali be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shaii be notif'ied. It shali be unlawful W cover
any conneding line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAfNTENAWCE TO COMNECTIOM
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch 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 properly�rner
requests mairitenance service or repairs be performed by the City,the property owner shall be charged for the costs vf the mair�tenance and/or
repairs,inciuding necessary street repairs at a rate set annuaily by an administrative poliry. k shall be the responsibiifty af the apptipM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris ciearing o�
root cutting and to maintairt the water service curb stop box for operability and at such height as wil!ensure that it remains above the finishec!
grade of the land or property. (Ref 638,1156,1191)