The URL can be used to link to this page

Meter Swap � ll REQUEST FOR SERVICE REPORT CITY OF FRIDLEY Reference No. ('-'l 3�3 Date: Request Type: Entered By: ,� . , � Department: �.� Citizen Name: " ± � /�(�. s C��--� 1 �K! Address: � �2 Phone Number:`.N� f'1 I� ��7 f '� � , ! �� Scheduled Date:--��5 �� Z- Property Owner: - zP� =�t= Location Detaiis: Request Details: :� � Action Taken: � �,, � ��:. ��:� t� ,, � ��D �` �`"�', r• :�� ✓" _`� �+1., ,:. �t �,�' �� ,3 ,.. . . � . . .R.:.� . g J . � . ,'G<'� . "��e� Re�ponsible Person: f Approver: � . . - . . �x--3;- .. Completion Date: Citizen Notified: . ,�_ . s�� b ' City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 ��'��"�� 763-572-3566 I/we hereby authorize the City of Fridley and/or its employees to do what ts ne�ssary to ce�ti�e w;�i�meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior ��t,rr►i�►i�. (�'�'�ty code 402.06} I also hold the C'ity of Fridley and/its employees harmless fo�any damages that may oowr while doing this ��r�t.�'ihis to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required ir+a permit prior to any work,if necessary. �131j�� FINAL METER READING(old meter) V � � Name: �� Address V � `� ��'1��. 'T'CV� Phone Number v / �~ '�!J"f Date 1��Z � �� r � 1 �Sign� Witness Signature —� OLD METER#_ v� �` T"'S� �� SIZE & STYLE(Circle) OLD READING �� v 5/8" HEX NEW METER# �� " E � v� NEW READING � 1'r4" ELIPTICAL or HEX ERT# �� 1' ��KJ � � 2„ ELIPTICAL or HEX ' FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1155,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water o�F sewer line connecting the existing municipal system and any house or building for which the application is made,the owner or w�rador shall be requi�ed to obtain a permit for such connection,and shall pay a permit fee as provided i� Chapter il 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 11ne until an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initfal connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice kad has been extended to the property line for connection,the applicant,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. 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 maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsil�tlity of the applicant, owner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191j