Meter Swap '� Request Number: 16113
t
Public works Division
Service Request
Problem Address: 5742 4th St Requested By: Ryan
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-498-1616
Scheduled Date: 2017-06-27 Scheduled 1ime: 07:30:00
`�i 1
ACTTON NEEDED:
Created by: Wendy Hiatt Dxte Created: 2017-06-23
ACTION TAI�N:
j�,rn� rn-e,�`
.............Y1,�.__.............A�'�-.._...1�-e�,�...�....____.._....._...__.____..__................._.__._._._.....__.._..__.�_..__._ _--._
Status: In Progress 5ubmitter Has Been r
Contacted
Date Completed: Completed by:
� �2�- �� fi �-
�
���-S���a ���
City of Fridley �1/�� �/�s
'` ,�v �I (/
�,,� Water Department
6431 University Avenue NE
Fridley, MN 55432
753-572-3566
��We hereby authorize the City of Fridley and/oc its empioyees 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 ali interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oc.cur 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 abtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � " '���O
Name:�(`J Address �� 1 1 L - V�� ��
r I
Phone Number � � � `Q^ 2�—'`�
Date
��� Witness Signature
OLD METER# I�'`J v �"� �� ,/
OLD READING O � `����
NEW METER# �4� � Y�l\�i� � I_I b� C)Z��
�
NEW READING_�
�
E�# `-123� °I
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 arry house or building fo�which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be uniawful to cover
any connecting line until an inspection has been made and such connection a�d the work incident thereto has been approved by the City as a
proper and suitable connection.
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 tine or a water service Iead has
been extended to the property line for connectio�,the applicant,owner,or occupant or user of such premises shall Ix liabfe for ali 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 6e performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poticy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard mair�tenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water service wrb stop box for operability and at such height as will ensure that it remaios above the finished
grade of the land or property. (Ref 638,1156,1191)