Meter Swap � � Request Number: 16382
� -
Public works Division
Service Request
Problem Address: 1376 66th Ave Requested By: George
Department: WA'IER Address: No address provided
ProMemAssue: ,�� INSTALL AMR METER Phone Number: 612-578-2482
P
:`i V
,�, . .�y�:�..
;�heduled Date: 2017-07-20 5cheduled 13me: 10:30:00
�
* � -'� (� 3�
-: A�.����:
�
�` Cre�,�ed•b�y: Beth Kondrick Date Created: 2017-07-18
�
_� N:
�. p. .... � _���J +.�__�. � ._.._.....___......._....�� ..___._......._.._._..
._... _..._... ......... �..—.
.fs:;�'^��;,
:%� .
q
.—
:i:�'
�`: ,y�"'' .
• y�y:
p.
Status: Itt Progress 5ubmitter Hais Been r,
t�'
Contacted ,
�
Dst���mpleted: � �� ; � Completed by: � �� � '
� � � a
�.,. �1, :.
_:
; 4, ��
.;�;5��,��r.
::;,�,�. � . , �
�,'
�;
�� 4 �ift-
:.^'�,,,"��. . � .r., .
. ' . . .��. � . �.
� .� � ��� '._ � . �:.
�,�����aaie�
��� `��`� I ��� ��-
wat��-�e�a���nt � % �
�- ` fi431 lJa�ivrersity Avenue NE (� `� �
Friclley,M{V 55432 �
763-572-3565
f,°"ie hereby authorize the City ot Fridley and/or its empioyees to do avhat is necessary to
replace t6e water meter. I understand that the�roperty owner is liable for the water line from the main to the premise and el!interior
p(umbing. (Per�'rty code 402.06j !also hold the City of Fridley and/its employees harmless for acry dama�es that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop boz and serv�tce line. In understand 1 am also require
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj � � ���D
Name: �[��� Address ��� s VG�Q�' �G°
Phone Number �Y ��� � ��`O"�-`i/R- Date_ �`" W� � y�
�Signature Witness Sigrtature
o�D M�-�R#_ l���► ���
O�D READlNG 6�� V�
N��,���R#_'� �3'S ��.� �
NE1N READlNG V
ERT# �� ! I � � � � �f „;
t
� ,;
t�
`"` FRIDlEY CITY CODE
CNAPTER 402.WATER,STt�RM WATER AND SANtTARY SEWER
ADMlNDSTRAT{ON -
(l�ef Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191} -,3
402.5 PERMIT FEE �
� Prior to constructing ar repair of arry water of sewer line connecting the existing municipal system and arry house or buitding for which the
apptication ts made,the owner or corttractor shall be required to obtain a permit for suth caonnection,and shafl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has 6een made,the Water and Sewer Oepartment shall be notified. ft shaN be unlawfvi ta cover
any connecting line unti{an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and witable connedion.
402.06 REPAIRS AND MABMTENANCE TO COpMNECTiO!!i �
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service iead has
been extended to the property line for connecCion,the applicant,owner,or occuparrt or user of such premises shall be liabie for alt repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. (f the property owner
requests mairrtenance service or repairs be perFormed by the City,the properh/rnaner shall be charged for the�of the mairrtenance and/ar
repairs,including necessary street repairs at a rate set annualty by an administrative policy. !t shail be tfre responsibility of Lhe appiicar►t,
owner,occupant or user to perform standars!mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and tv maintain the arater service curb stop box for operabil'�ty and at such height as wili ensure that it remains above the finished
�rade af the land ar property. (Ref 638,1156,1191)