Meter Swap �
� Request Number: 15367
Pub�c works Division
Seivice Request
Problem Address: 173 Pilot Ave Requested By: David Lind
Department: WA'IER .�dress: No address provided
Problemllssue: INSTALL AMR METER Phone Nn�ber: 350-2166
ScheduledDate: 2017-OS-19 � Scheduled'Rme: 07:00:00
�
ACIZON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-16
ACITON T.AI�N:
.... ���_ '-`:...�__...�.�� ._._...�__.___.__........_._........_..__........_...___.._._.._. ..._....___._..___._........_.._._.._._.._
Status: In Progress 5ubmitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department �b 6 — (�5���o �.Q�
6431 University Avenue NE �
Fridley,MPI 55432 �� � (� I(��
763-572-3566
�/We hereby authorize the City of Fridtey and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liabie for the water line from the main to the premise and ali interior
plumbing. (Per C'ity code 402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,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 REqp G(otd meter) �� � � ��D
Name• �� V1�1VJ— Address�� � �1 "� ��v
Phone Number ����� D� ��� ``� M�
Si nature '�
�8 Witness Signature
r (�-, ? � t� (���`� 8��
OLD METER#��� ��`�
OLD READING I 6� �p 2� �_� '/
NEW METER# _`1 f/ 1�� �� '
48907549 ;.
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NEW READING � ,
�11 � f � `� , IIIIIIIIIIIIIIIIIIIIII E ,
ERT� � � 7�a�6sa7_ �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Alo 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 conneding the existing municipal system and any house or buikiir�for which the
application is made,the owner or rnntractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided i�
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shalt be notified. It shall be unlawful to cover
any connecting li�e until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECi70N
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Iine or a water senric:e Iead has
been extended to the property line fo�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. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the co�s of the maiirtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an admioistrative policy. it shall be the responsibii'�ty of the applicaM,
owner,occupant or user to perform sta�dard mairrtenance of the sewer service line from the premises to the main induding debris ciearing 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 ftnished
grade of the land or property. (Ref 638,1156,1191)