Meter Swap . � Request Number: 14285
Publ�c Works Division
Service Request
Problem Address: 1371 53rd A�e Requested By: Sean
Department: WA'IER Address: No ad�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 651-967-2063
ScheduledDate: 2017-04-03 � Sc6ednled'Ifine: 01:00:00
� ��'`' m
ACIION NEEDED:
�"'� Created by: Beth Kondrick Dste Created: 201?-03-23
y 4'
AC'IION TAI�N:
�L!�4 ll�� ���
`�;�
i�¢ � �.
f
i'+t'F
StAtus: In Progress Snbmitter A�s Beee r
Coatacted
Dxte Completed: �_ �_ �� Completed by: �
�.��
�2 ��- �d �a� �.
+ City of Fridley ��� J���
� Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/we hereby authorize the City of Fridley and/or its employees to do what is neassary 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 hoid the C'sty of Fridfey and/its empioyees harmless for any damages that may ocair while doing this
operation. This to include,but not limited to valves,pipi�g,walis,floors or the curb stop box and service line. in undentand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� � L �
Name: ��CL�j Address �� 6 � ���� -t'�l/�.
Phone Number ly��^ ����v��� Date �� � ��
Signature Witness Signature �
OLD METER# '��D�V
OLD READING i�OP� �O c D
NEW METER# ��� v aw ` ,
NEW READING �
ERT# G v'��0�� lf�� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATiON
(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 ex�sting municipal system and any house or buitding for whkh the
application is made,the owner or contractor shall be required to obtain a perm�t for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shail be notified. It shall be uelawEul to cover
any connecting line until an inspectfon has been made and such connection and the work inc�dent thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTfON
After the initial connection has been made to the water servioe curb stop box or the sewer lead at the property line or a water service tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Ilable for alf repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property ow�e�
requests maintenance service or repairs be performed by the City,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 af the applicant,
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)