Meter Swap r � Request Number: 14548
Public Works Division
Service Request
Problem Address: 5421 7th St Requested By: Matt
Department: WA'IER Address: No ad�ess provided
Problem/7ssue: INSTALL AMR METER Phone Nnmber: 763-792-1D99
Schednled Date• 2017-04-14 5chednle�'ilme: 01:3U:00
,
� � `fi f �c�O
ACIION NEEDED:
Created by: Wendy Hiatt Date Crenteds 201?-04-06
,
ACIION TAI�N: Y ,
��....�..._ � �+� �
._..__........ �......_...._-__.____._._......_.____...._�_...._._. ___._.__.._.__ .__.
..........................................��.....+....�.�.......................� ..................�.........�.�..�............�........�.........�. ....�....�....„�.............��.�..� . . . �'Y':�. .
Status: Ixi Progress Submitter Hn�Been r.
Cont�cted
Date Completed: Completed by:
c�_ ��.� _ -�1'" lo r—
!� `�
.. G��� / � � V��✓ � ! ��
� City of Fridley S � f't" ���
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and aN interior
piumbing. (Per City code 402.06) i also hotd the City of Fridley and/its empioyees harmless for any damages that may oawr�rhFle doing this
aperation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(otd meter) � � � � � ��
Name: �� pd�� � � ��
Phone Number��� ��`��� Date_ ��, � ��
Signature Witness Signature �
OLD METER# ���
OLD READING � � � � � ��
NEW METER#_ "1�� E� � � Z
NEW READING �
ERT# � ZZ�c..7V J
FRIDLEY CITY CODE
CHAP7ER 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 the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water aod Sewer Department shati be notified. It shall be unlawful to wver
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and witable 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 line or a water service lead has
been extended to the property line for connedion,the appiicant,owner,or ocwpant or user of wch premises shalt be liable for all repairs
required to any water line and sewer tines necessary for connection of the premises from the main to the premises. If the property�rner
requests maintenance service or repairs be performed by the City,the property owner shal!be ch�rged for the costs of the mairnenance and/or _
repairs,including necessary street�epairs at a rate set annually by an administrative poliry. It shall be the responsibility af the applicarrt, ��
owner,occupant or user to perform standard maintenance 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 or property. (Ref 638,1156,1191)