Meter Swap �
�
Request Number: 15180
Public Works Division
Service Request
Problem Address: 136 Pilot A�e Requested By: Doris
Department: WATER Addreas: No ad�ees provided
Problem/Iss�ce: IN5TALL AMR ME1ER Phone Num6er: 763-213-2702
Scheduled Date: 2017-OS-12 &bed�led Time: 01:00:00
� ��
ACIION N�EDED: `�
K �
x
IrCreated by: Wendy Hiatt Date Gre�ed: 2017-OS-08
AE,'TiON TAKEN:
�;�,. C ---_
Stsit�: In Progress 3abmitter Has Been �,,
Cont�ted
DateCompleted: � �� ,'� Completedby: � �t��
� �
/
,
l
�
.�
City of Fridley 1 a6 � ��3�6a•��
Water Department �i�� /lO�r,/
6431 University Avenue NE �� �'� � y'
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley 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 tfie main to the premise and atl interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmle!!5 for any damages that may ocwr while doing this
operation. This to include,but�ot limited to vatves,piping,walls,floon or tfie curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,ff necessary.
I � � � � 'Nt
FINAL METER REA�ING(�I�meter)_ _ � ;;�,
�
Name: ��U� Address _ ��� �{1(9� �'� r i
Phone Number ������)� � G Q�—pate_ _ �j — ��"'� `�
Signature Witness Signature '"�—
OLD METER# ��J�' ��C
OLD READI � " �I � G�
NG
NEW METER# t 1 Q t�-��� �
NEW READING V
ERT#_ � ���U� �L'
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY 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 shall be required to obtain a permit for such connection,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 shal{be notified. It shall be uniawful to cover
any connecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
4Q2.06 REPAIRS AND MAINTENANCE TO CONNECTlON
After the initial connection has been made to the water service curb stop box o�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 ilabie 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 owner
requests maintenance service or repairs be perFormed by the C'�ty,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
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 will ensure that it remains above the finished
grade of the land o�property. (Ref 638,1156,1191)