Meter Swap s
` Request Number: 13490
Public Works Division
Service Request
ProW em Addtess: 1568 Ferndale A� Requested By: Amy
Departmeat: WA'IER Addresa: No ad�esa providcd
Problem/7ss�u: INSTALL AMR METER Phone Number: 651-470-7278
Schednied DaRe: 2017-02-16 Sc6edaled'Rme: 07:OO:OU
�
AG7ION NEEUED:
Created by: Wendy Hi�t l�tte Cteated: 2U 17-02-I S
AG7ION TAKEN:
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Status: In Progress �bmitter Ha�Been �
Couts�etcd
Date ComQteted: � — I� -- � � Completed by: \ ��.,�
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�431 i3niv�rsit�r Avenue AlE !�� � �G��,Q
Fridley, MN 554�2
` > 763-572-3556 � I �__ � ! ,� � �(�, f(..� �j
�/AA°� hereby authorize#he City af Fridley and/or its empioyees to do what ds necessary to
replace#he water metec. 1 c�nderstand ti�►at the property owner is liable for the mvater line from 4he main to the premise and a!1 interior
plurrrbing. {Per City s.ocle 402.06� i�Isa hold ihe Ccty of Fridley and/Hs employees harmless#or any damages that may occur whiie doing this
operation. This#o include,but not limited io valves,pipin�walls,floors or the curh stop box snd service line. tn a�nderstand!am afso requir
to abtain a permit prior fio any rvorlc,if necessary.
FINAL METER REAOIN�(okt rneter) _ (J����7 V
Name•—L—�'"'�-y Address (5� �1 �'`e V���� ��/''�C
Phone Number�51` �U"' /��v Date d--' ��r '�.
Signature Ntitness SignaCure �'
OLD MET�R� ��f� �
OtD READING_ ��� �� D
NEW METER'# �� t� � V �R
C7 .,,..,..1----�
NEW READI�VG
ERT# � l � � CSl.��j�p
FRfDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND SAAitTAEtX SEWER
ADMINISTRATION
(Ref Ord No I13,464,565,566,629,638,662,922,988,114,4,1156,1191j
402.5 PERMI7'FEE
Prior to constructing or repair of any water of sewer Pne conneciing the existing municipal system and ar�y fiouse oc buildir�for whicH the
appficafiion is made,the owner or corrtractor shait be required to obtain a permit#or sucl�connection,and shall pay a permitfee as pro�rided in�
Chapter 11 of this Code. After such conaection has tseen made,the Water and Sewer Departmerrt shall be notif'ied. Pt shail be un(awful to c�ove
arry connecting tine until an inspection has been made and such connection and the wor�c incideM thereto has 6ee�appcov¢d Esy the Crty as a
proper and suitable connection.
�02.06 REPAiRS AND A1IAINTENANCE TO CONN�CT{ON
After Che initiaf conneetiort has been made to the water senrice curb stop boK or the searer lead at the property line or a rra�r service lead has
been extended#o fihe property line for connedian,the appiic.arrt,owner,or occuparrt or user vf such premises shali be ifaWe for ali r+epairs
. required to arry waCer line and sewer lines necessary for connestion of the premises from the main to the premises. tF the property owner
requests mairr#enance senrics or repairs t�e performed by tF�e City,the proper�y omrner shail be charged for the�af the mairrtenarn�and/or
repairs,inctuding�ecessary street repairs at a rate set annua!!y by an administra#ive poNcy. It shail be ti�e responsibitity af the a�licarrt,
owner,occuparn or user to perForm standard mairrtenance of the sewer service line firom the premises to the main including�bris dearing or
root cutting and to mairrtain the water service curb stop box foc operability and at sucfi height as wiil ensure#hat it remairu above the finished
grade of#he land or property. �Ref 63&,1156,1191)