Meter Swap t �
� � �
,;;
�
City af
FC!(llgy
Request Nu�nber: 17438
Pud�iic Works I�vision
�rvke Itequeat
�robiexf A�ddress: 6525 Ccntral Ave Requested By: Red w/Nortl�sast Towi�
De�rt�ne�t: WATER Ad�rese: No ad�esa prc�vidad
Prabiem/Issue: INSTAL.L AMR METER Pho�e Number: 5�1-266(3
� ;`.
Sc�ed�ded Ikte: 201?-12 �r Schedrlad Tlme: 11:3U:00
1
AG7ION NEEDED:
; _
;,,
Crested by: Wendy Hiatt Date Cre�ed: 2017-12-12
�;::
AC"IION TAI�N: `
�-�L�xr�- ��°� �l�`� d��L�---
��L�..- .. � � ..
��
.................�...�......................�....�....�................���..�...... .�............�...�........�.......... ..........�..� �................ ......�.�...�.......� . �' . '�
. . � -p„��' �.. �
,:� ,;�; �
Stat�: In Progress Sabmitter Hxs Bean r, '
Contacted
�
D�e Completed: ',L' C u�)� Completed by:
` �a�
;
�
. � = ��. ��.o�o - v �
City of Fridley �
Water Department � Q "�—� � l
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and(or its employees to do what is necessary to
replace the water meter. I understand that the property owner is fiable for the water line from the main to the premise and aq iat�erio�
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its emptoyees harmless for any damages that may oaur while doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. ln u�derstand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) 1 � a�5 � a
Name: �v W) �'1(���+�►eG�' � AZldress �f�'� � �J C'�C'r vh G--� �
Phone Number ��� ���� Date ��'~ ` � y�
�Si n�atyte / ' Witness Signature
OLD METER# �� y�� ��� SIZE & STYLE(Circle)
OLD READING �U� j � �� 5/ 4�
NEW METER# ��✓��I f � ln HEX
NEW READING � 1 r4" EUPTICAL or HEX
ERT# � ( �� `� �r 2" ELtPTICAI or HEX
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 conneding the existing municipaf system and any house or building for which the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. Afte�such connection has becn made,tfie Water and Sewer Department shall be not�ed. R shall be unlawful to cover
any connecting line until an inspection has been made and such connectio�and the work incident thereto has been approved b�r the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTENANCE TO CONNECTION
After the initfai connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shaii be charged for the costs of the maintenance a�d/or
repain,including necessary street repairs at a rate set annually by an administretive policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operabflity and at such height as will ensure that it remains above the finished
grede of the land or property. (Ref 638,1156,1191)