Meter Swap � Request Number: 14433
Public works Division
Sen�ice Request
Problem Address: 1529 Berne� Requested By: John Rockwell
Depnrrtment: WA'IF.R Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-965-8544
Scheduled Dsite: 2017-04-07 Schedaled 1lme: 08:30:00
1�T1,�s `�` �-�3�-
` ACIION NEEDED: ��,
G�eated by: Beth Kondrick Date Created: 2017-03-30
�Akt.
:��:':�w.�
�''TION TAI�N:
.��� �.►1�-�-�. [ f�� �-�c. �----
�___ .�.�. _ �
_,��
Status: jn Progress ����er Has Been r,
CoutAMed
Date Completed: �l� � �r� Completed by:
� ���
�
. w.�
��;:.
. �
.��. � �7 �o�v� a�
� p � ����
City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-57Z-3565
�1we 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 all interior
ptumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vahres,piping,walls,floors or the curb stop box and service line. in understand i am alw required
to obtain a permit prior to any work,if necessary.
✓��y l/
FINAL METER READING(old meter) / ��
Name: J����'�, 1��`^�'�� l Address__ _ _� J�� �`-1 ►l, l�i��.�
Phone Number K.�L,. — 9�J ��� Date L �� � �
��
Signature Witness Stgnature
OLD METER# � �� 6 � G ��
OLD READING ✓� 1 � � �Cl
NEW METER# 1 1�� ` 1 d°"'
NEW READING (/
ERT# l d�GoL. J� l 1
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 tonstruding or repair of any water of sewer line wnnecting the existing municipa!system and any house or building for which the
applicatio�ts made,the owner or contractor shall be required to obtain a permit for wch connection,and shail pay a permit fee as provided in
Chapter 31 of this Code. After wch connection fias been made,the Water and Sewer Department shali be notified. It sball be unlawful to cover
any conneding line until an inspection has been made and such connedion and the work inc7dent thereto has been approved by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property tine for connection,the applicairt,owner,or occupant or user of such premises shall be IPable for all repairs
required to any water fine and sewer lines necessary for connection of the premises from the main to the premises. If the prope�t�{owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perfo�m standard maiMenance of the sewer service fine from the premises to the main including debris clearing or
root cutting a�d to maintain the water senrice curb stop box for operabil'rty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)