Meter Swap r �` Request Number: 15483
Public works Division
Service Request
Problem Address: 4705 Main St Requested By: Russell
Department: WA1ER Address: No address�ovided
Problem/7ssue: INSTALL AMR METER Phone Numi�er: 763-2U2-3642
Scheduled D�te: 2017-OS-24 � Schednle�'Ilme: 11:00:00
�j
ACTION NEEDED:
Created by: Beth Kondrick llnte Created: 2017-OS-22
ACTION TAI�N:
__..__ ��,�,��1.._._ �`��.--__...__.__....____......_.._.........__...___.__
Statns: In Progress 5ubmitter Has Been r.
Contsuted
Date Completed: Completed by:
�--Z�— I'1 � �or
�
4 City of Fridley ���p "' ��� ` _` D 'v I
�•'` Water Departrnent � ��/� (
� y.
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/we hereby authorize the�ty of Fridfey and/or its emptoyees to do what is necessary to
replace the water meter. 1 urtderstand that the property owner is liable for the water line from the main to the premise and aN irrterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may a:cur while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIPIG(oid meter)_ //��n�
Name: �_�� Address ��U� V"�LJ�� ��
Phone Number�� c7'� t ���`�gte �— V' r ��
Signature Witness Signaiure �
OLD METER# � 1�� " 1 O�
OLD READING �� ���
P1EW METER#_`�(�������
NEW READING �
ERT# � V���I ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNlSTRATlON
(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 municipaf system and any house or building for which the
application is made,the owner or contractor shaii be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department 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 been approved by the City as a
proper and suitabte connection.
402.06 REPAtRS AND MAINTENANCE TO CONNECTION
After the initiai connection 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 extended 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 lines necessary for connection of the premises from the main to the premises. if the property qwner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs aF the maiMenance and/or
repairs,includi�g necessary street repairs at a rate set aanuaily by an administrative poticy. tt shall be the responsibitity of the appticarit,
owner,occupant or user to perForm standard maintenance 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 operabiitty and at such height as will ensure that it remair�s above the�nished
grade of the land or properly. (Ref 638,1156,1191)