Meter Swap �
C'�
Request Number: 14794
Public works Division
Service Request
Problem Address: 4769 Main St Requested By: John Lisowski
Depxrtment: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-377-5855
5chedided 2017-04-21 5c6edaled 1ime: 01:3U:00
' 17" 1
ACTiOAi NEEDED:
Created by; Beth Kon�drick Date Crc�ted: 2017-04-19
y� ,
AC�I4N TAI�N:
�— � � -
__._......_.._..........:��._.`' ��__._._..�'_.�," - _._._.. .
��'.•' Status: In Progress Sabmitter H�a Been r
CoMacted
Dxte Completed: Completed by:
��- � '�1 -- l� ��e _
�
.�
t
. � � ....µr... '
�
f �^S
��
�f'➢�
4���
F��c
, (v� � �� So � , � 3
�
S a � 3�� �
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the properly owner is liabfe for the water line from the main to the premise and all iriterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its empioyees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING old meter a ����"��
� �
Name: �CJ� �C1�7�J�.�j Address �,' t �L' I 1_�� l� _-
Phone Number K.Y'c7' �� ` ' �(�� Date ��o�` ✓ �
.�.��
Signature Witness Signature
OLD METER# 4�������
OLD READING � 1��✓ °��
NEW METER# � 10�-� `��� �
NEW READING v
ERT# ����L�� � 1 .
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 wnstructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to wver
any connecting line until an inspection has been made and such coonection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
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 service lead has
been eztended to the p�operty line for connection,the appliwnt,awner,or occupaM or user of such premises shail be liabie 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 mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing o�
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)
��'.