Meter Swap ,
' Request Number: 16460
Public Works Division
Service Request
Problem Address: 549 53 1/2 Ave Requested By: Suki
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-273-3249
Scheduled Date: 201�-08-01 Schednled 1ime: 11:00:00
—T�,es � ( s� l l�.�.
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-25
ACTION TAI�N:
................�..�'1..�..1�1_........._....�.�..� .....`.!._�........__------�--_.___... .
Status: 1n Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
Honrs -�-� ��_
�� �- l-� �
`� Y
�i�}r��Fr�c!➢e�
���✓ �����'-��
U1later�e�sartrnen� �D .�„/ � /� /
.
� 5431 l�naversity Avenue 6VE `Lcr
Frislley,�rilV 55432
763-572-3566
i/we hereby authorize the City of Fridley and/or its emptoyees to do what is necessary to
replace the water rneter. t understand that the;property owner is Biable for the water line from the main to the premise and alt irite�ior
plumbing. (Per�Ci#y code�2.06) 1 also hold the City of Fridley and/its employees harmless#or any damages that may occur while doing this
oper�tion. This to include,but»ot limited to valves,piping,walis,#loors or the turb stap box arrd service line. 1n understand 1 am also require
to abtain a permit prior to any wortc,if necessary.
FfR1AL METER READIMG(o1d meterj �� v
L� .
Name• GJ�� Address �" 1� �� (/2 �
Phone�Yumber �--`1-��� � � Date �� 1�� 1
�Signature Witness Signature
O�D M��# �� � 13�3
oLD R���NG c���i d
MEW METER# '�4 Y c���� f 1
NEW READING O
E��# `� 2-� i �5�-t�I
FRIDLEY CITY CODE
CHA�'ER�(12.WA�'ER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(�tef Ord No 113,464,565,566, 629,638,662,922,988, 1144,1156,1191)
4Q2.5 PERMti'FEE
� Prior to constructing ar repair of acry water af sewer line coanecting the existing municipal system and arry house or buitding for which the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shali 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. tt shall be unlawful to covec
any connecting line until an inspection has been made and such connection and the worlc inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAiRS AP(D MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stap 6ox or the sewer lead at the pro�rty line or a water senrice dead has
b2en extended to the property line for connection,the applicant,owner,or occupant ar user of such premises shaN!te liabie for atl repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises, ff the property owner
requests mairrtenance service ar repairs be performed by the City,the property oa+ner shall be charged for the costs of the mai�enance and/a�
repairs,including necessery street repairs at a rate set annually by an administrative policy. It shall be the responsibility aF the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer servite line from the premises to tF�e ma�n induding debris clearing�r
root cutting and to maintain the water service curb stop box for aperabi('i#y and at such height as wii(ensure tHat it remairis above the finished
grade af the land ar property. (Ref 638,1156,1191j