Meter Swap � � Request Number: 14481
Public works Division
Service Request
Problem Address: 572 Cheri Ln Requested By: Tim
Department: WA1ER Address: No address}xovided
Problem/issne: INSTALL AMR METER Phone Numher: b12-669-91 SS
SchedW ed Date: 2017-04-07 Sc6edeled'Rme: 01:OU:00
, `'Ji..
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-03
ACTION TAKEN:
__�..�s ���-- ___
Status: In Progess Submitter Has Been r,
CoMacted
Date Coa�pleted: Completed by:
�_ ` 7—� �o,�
� �`�
2a �� �����r�-��
,
_. s�� ����
City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/Wa hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doi�this
operation. This to include,but not IimRed to valves,piping,walls,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prio�to any work,if necessary.
FINAL METER READING(old meter) I I � _ I ��`�
Name•���� Address ��� �..J�' �'C�`� 1 ��/�,
Phone Number������'— '^���ate �� 6 ��
Signature Witness Sigoature
OLD METER# � 1c��� 1 I��
OLD READING I �V� �� V
NEW METER# ����� ��
NEW READING �
ERT# � ✓��� �J��
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 wnstructing or repair of any water of sewer line connecting the existing municipal system and am►house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for wch coonection,and shall pay a permit fee as provided tn
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notifkd. It shall be unlawrFul to wver
any connecting line uirtil an inspection has been made and such connedion 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 senrice 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 appliwnt,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property oarner
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 rete set annually by an administrative poliry. It shall be the responsibility o�F the applicant,
owner,occupant 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 mairrtain the water senrice curb stop box for operability and at such heigtrt as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)