Meter Swap �, Request Number: 15724
�
Public Works Division
Service Request
Problem Address: 4953 Roman Rd Requested By: Logan Adamson
Department: WATER Address: No address provi�d
Problem/Lssue: INSTALL AMR METER Phone Number: 651-333-0041
SchedW ed Da : 2017-06-07 .�„� Schednled TSme: 10:00:00
��./T
ACIION NEEDED:
Created by: Beth Kor�drick Dxte Created: 2017-06-02
ACTION TAI�N:
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__._......_._..................._.......__....._ ______._. _ _._..._.___ ........._._.__............. ._ �
Status: In Progress 5ubmitter Has Been �..
Contncted '
Date Completed: Completed by:
�— �— i�, —r-- la �-
�
�i#y o��r�dley l �� "l ��b�� '��
Water Departavtent � �
N
643�l�niversity Avenue NE l.� ��o�
� Fttidley,MN 55432
7C3-572-3566
+ly''�e hereby authorize the C'rty of�ridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is tiab{e for the water line from the main to the premise and all interior
plumbing. {per City code 402.06j 1 also hold the City of Fridiey and�ts employees harmless for any damages that may occur whiie doing this
operation. This to inc(ude,but not limited to vatves,pipin�walis,fioors or the curb stop box and service line. In understand t am also requir�
to obtain a permit prior to arry work,if necessary.
FINA!METER READiWG(oid meterj ��� 4 ��
Name• Address �- \�� �
Phone lYumber �r^�J ` ��'� 1 p�e �—�`" �,
Signature �^�^'C�- Witness Si�nature -�
OLD NlET'ER# � �v 1 ����
OLD READING �✓ (� I "4���
NEW METER# - 1� I�_ L�t ��
NEW READING _�
E�# � 2�v��U�
FRtDLEY CITY CODE
CHAP7'ER 402.WATER,STQRM WATER AND SANITARY SEWER
ADMINISTRATIOR! �
(fief Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMiT FEE
Prior to constructin�or repair of any water of sewer line connecting the existing municipal system and art}t house or building for which the
applicaition is made,#he owner or cor�tractor shall iae requised to abtain a permit for su,ch conoection,and shall pay a permit fiee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be nofified. It shall be unla�wful to cover
any connecting line urrti!an inspection has been made and such connection and the work incident thereto has been approved by the Cit�/as a
proper and suitable�nnection.
402.06 REPAIRS AMD MAINi'EPIANCE TO COPlNECTION
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 tead has
been extended to the property line for sonnection,the applicant,owner,or occuparrt ar user of such premises shall be tiable for all repairs ,
required to any water line and sewer Gnes necessary#or connection of the premises from the main fio the premises. If the property owner '�--
requests maintenance service or repairs be performed by the City,the prvperty owner sha(1 be charged for the costs of the mairrtenance andJor
repairs,inciuding necessary street repairs at a rate set annualty by an administrative policy. It shall be the responsibility of the applfcant,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including stebris dearing or
root cutting and to maintain the water service curb stop box for operabiliiy and at such height as wiU ensure that it remains above the finished
grade af the iand or property. (Ref 638,1156,1191j