Meter Swap Request Number: 14637
Public Works Division
Service Request
Problem Address: 5240 Buchanan St Requested By: Li Xie
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 612-207-5324
Scheduled Date: 2017-04-17 Schednled Time: 11:30:00
! ( l �
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAI�N: �
..............._1�.���-.�r....t............._._...��..�._.._......................................_.__._.........___._....................__.__...._..___......................_._..�___...._...._.___.______-__...___ __._.____._
Status: In Progress 5ubmitter Has Been �,
Contacted
Date Completed: Completed by:
_ T ��r _
�1 i� - �� �
a v�-- c�� y.o--o
�
City of Fridley �� �� ���
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-5723566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. {understand that the qroperty owner is liabie for the water line from the main to the premise and all iMerfor
plumbing. (Per City code 40Z.06) f also hold the City of Fridley and/its employees ha�miess for any damages that may o�r while doi�this
operation. This to include,but not limited to valves,piping,walls,fbors or the curb stop box and service{ine. In understand i am also required
to obtain a permit prior to any work,if aecessary.
FINAL METER READtNG{o!d meter) � ���o ��
Name: ��, !V1�� Address��— 1 V �U(.�'�•�r v�W � ��
Phone Number �f�^ W ���J�'�(y� Date_�'� 1 L '— {�
Signature Witness Signature
OLD METER# '���� v�� �
OLD READING � V"1���
NEW METER# "{� Lt.! �cJ I `�
NEW READING �
ERT# �' �� ` ��� `
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,A64,565,566,629,638,662,922,988,1144,1156,1191)
AQ2.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line tonnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required te obtain a permit fo�such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. 1t shali be unlawFut to wver
any conneding line until an inspedion has been made and such connection and the work incident thereto has been approved by the Cliy as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the lnitial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for a{I repairs
required to amr water line and sewer lines necessary for connection of the premises from the main to the premises. ff the properly owner
requests maintenance service or repairs be performed by the City,the property owner shali be ch�rged for the costs of tfie maintenance andJor
repairs,including necessary street repairs at a rate set annuaNy by an admi�istrative poliry. It shail be the responsibility of the applicaM,
owner,occupant or user to perform standard maintena�ce of the sewer service line from the premises to the main induding deluis ctearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will e�wre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)