Meter Swap � Request Number: 14381
Pubfic Works Division
Service Request
Problem Addreas: 1541 Berne Rd Requested By: Tom
Department: WATER Address: No ad�ress providad
ProblemJIssue: INSTALL AMR ME1ER Phone Number: 571-8530
Sc�eduled Date: 2017-04-03 Schedule�11me: 07:30:00
1
ACTION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-03-29 �� -
ACIION TAI�N:
__�......_ _.._.._..._�i i J� �� . _,,,,,
�.:.
Status: In Progcess S�ltmitter Has Been r,
Contacted
Date Compteted: �_� � �� Completed by: �
G�i.��L
. lo��� i��� � o�lo—v2
City of Fridley Ca � �7���
Water Department �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the tity ofi Fridley and/or its employees to do what is nec;essary to
replace the water meter, i understand that the property owner is liable for the water line from the main to the premise and all irKerior
plumbing. (Pec City code 402.�) i atso fio{d tfie City af Frid{ey and/its employees harmless for any damages that may ouur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� `'""
Name• �� Address_ � ��T_�L'�� f`-Ca'
Phone Number ��� ~ ���v Date_ ��� ~ ��
Signature Witness Signature ��
OLD METER# ��� J t ��'O
�LD READING ����/
NEW METER# ��v " �O�V
NEW READING �
ERT# ����`'�lY�J !
FRIDLEY CITY CODE
CHAPTER 442.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
Arior to constructing or repair of any water of sewer line wnnecting the existing municipal system and arry house or buildir�for which the
appfication is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECT{ON
Afte�the initial connection has been made to tfie 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 applicant,owner,or occupant or user of such premises shall be liabie for ail repairs
required to any water line and sewer Ilnes necessary for connection of the premises from the main to the premises. ff the property owc�er
requests maiMe�ance service or repairs be perFormed by the City,the properry owner shall be charged for the costs of the maintenance and/or
repairs,inctuding necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the roain including debris tlearing or
root cutting and to mairrtain the water service curb stoQ 6ox for operability and at such height as wiN ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)