Meter Swap a
, Request Number: 15590
Public Works Division
Service Request
Problem Address: 6550 Arthur St Requested By: Mazlene Peterson
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-432-3185
Scheduled Dxte: 2017-OS-30 Sched�led 11me: 08:30:00
� � �
AGTI4N NEEDED:Door will be open,please come in,she may be on phone,wurks from home.
Created by: Beth Koc�drick Dnte Cre�ted: 201?-OS-26
ACTION TAI�N:
._.��,5�-�.�`_....__..___.��1 ��.�._......�..__
.;
fi
Status: In Progress 5nbmitter Has Becn r
Coutacted
Date Completed: Completed by:
�'3�-i� ���'�
;.
,
City of Fridley " �' ����� �� �
Water Departro�ent � � ���
' 6431 lJniversity Avenue NE
Fridley,MN 55432
763-572-3566
�O`"�e hereby authorize the City of Fridley and/or its empfoyees to da what is necessary to
replace the water meter. t understand that the property owner is liabie tor the water line from the main to the premise and alt irsteriar
plumbing. {Per City code 402.06) I also hold the Crty af Fridley and/its employees harmleu for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and senrice line. In understand l am also required
to obtain a permit prior to any worlc,if necessary.
FINAL METER READING(oid meterj 1�O� v����
Name: 1"1(�X �L.�K.� ���h Address V�� �� c�'�
Phone Number �C�d�� r„�2� ��C�p� �'�0'—
�Signature Witness Signature
OLD METER# ���0 (JV !�I
OLD READING �O� J ��O
NEW METER# " 6—� ZZ � I � �
NEW READING � �
ERT# �Z�J '�V c7 �
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 buifding for wh(ch the
appiication is made,ihe owner or co�tractor shafl be required to obtain a permit for such connection,and shati pay a permit fee as provided in
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Departmerrt shall be notified. It shall be untawful to cover
any connecting line urrtil an inspection has been made and such connedion and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
�02.06 REPAIRS AND MAINTENANCE TO CONNECI'ION
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 connection,the applicarrt,owner,or occupant or user of such premises shalt be liable for all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. !t shali be the responsibility of the applicant,
owner,occupant or user to perForm standard mai�rtenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and#o mairrWin the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)