Meter Swap .
` Request Number: 14295
Public works Division
Service Request
Problem Address: 6845 Channel Rd Requested By: Adazn Hardy
Depxrtmeut: WA1ER Address: No address provided
Problem/Iss�: INSTALL AMR ME1ER Pho�Number: 763-229-0124
Scheduled Date: 2017-03-31 Sc�ednled 11me: 10:00:00
,
1 S� Q (�,
ACTION NEEDED:
Created by: Wcndy Hiatt Date Created: 2017-03-24
ACTION TAI�N: �
__.._.___�.' ` �."""'�t� _.__.._..��......_.._� _
� :�,,> ...... .._.._.._.___�_____�_._..._.__.._.._._ �....__.._._._.__._..____. W___.__
Status: In Progress Sabmitter Iisu Been r
Co�acted
Dste Compteted: Completed by:
� .. � 6{Sr
� � - �-� �
.
� City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432 Q��� �"�2 / ��_ �2
763-572-3566 ���
�/We hereby authorize the C'Ry of Fridley and/or its employees to do what is necl�s5ry td �
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may oaur 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 I am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter) ���� J ��
Name: �c�i='�Y1�1 -�� Address �CJ� - l� l.�1�G�1,�1.Q�' 'F—a
Phone Number l �� 22� ����te � � � 1 ' �
Signature Witness Signature
OLD METER# "l (,n� I$YJ�
OLD READING�2L �
NEW METER# - 1 I 0 `� �5��
NEW READING �/
ERT# � L �� � � `��
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 connecting the existing municipal system and any house or buiiding for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee�provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any connecting line until an inspedion has bee�made and such wnnection 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 initial connection has been made to the water service curb stop box or the sewer lead at the property line a�a water service lead has
been extended to the property line for wnnection,the appiicant,owner,or ouupant or user of such premises shall be liabk 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 properly owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of tl�e applicarit,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water seroice a,�rb stop box for operability and at such height as wili enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,3191)