Meter Swap �
` Request Number: 14959
Public works Division
Service Request
Problem Address: 113 Pilot Ave Requested By: Lyim Anderson
Department: WATER Address: No address provided
Problern/Isave: INSTALL AMR METER Phone Number: 612-508-8440
Sche 2017- -27 Schednled 1lme: 08:00:00
� �
ACTTON NEEDED:
Created by: Wendy Hiatt Date Cremed: 2017-04-26
ACTION T.�I�N:
_...__.__�.� G i _._..�_��.� __._.__....._.____. _ _
Status: 1x►Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
�-Z�- l�l � �
�
�
� �6 � c�� 3�O 3 0—C��-
- � o -� �lo a
5
City of Fridley
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and alt interior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/'ns employees harmless for any damages that may ocair while doing this
ope��tion. This to include,but not limited to vaives,piping,walls,floors or the wrb stop box and senrice line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� �/��
Name:�`� Address � � � � ��'
PhoneNumbe�� Y /ir�lJdJ �``- 'V Date �_�� � 6�
Signature �tness Signature
OLD METER# �� -6 �� Z L—
OLD READING �-'� �� / ��
NEW METER# �"L W � � -1�
NEW READING�
E�# � �222°I�l�t
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 t6e
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter il of this Code. After wch 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 Crty as a
proper and suitable wnnection.
402.06 REPAIRS 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 applicarrt,owner,or occupant or user of wch premises shall be IiaWe fo�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 shalf be charged for the costs of the maiMenance and/or
repairs,includin�necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenence of the sewer service line from the premises to the maln induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)