Meter Swap .
= Request Number: 13211
Public works Division
Service Request
Problem Address: 5570 Fillmore St Requested By: Ste�n Koehler
Departme�: WATEIt A�d�dres�: No address provided
Problem/Isaue: INSTALL AMR METER PLoee Number: 763-486-2033
Scheduled e: 2017-02-03 Se6edaled 1Ime: 07:30:00
r �
ACIION NEEDED:
Created by: Wendy Hi�t Date Created: 2017-02-02
AG"IION TAI�N:
�,5-�-� l �� v�� l�
Statna: In Progi�ess �a��er Ha�Been �,
Cont�ted
D�te Completed: �� �`� l � Cempleted by: 1
�J a-��
�rtlate��epar�a�ti�rtt �
5431 tOn(v�a-sitg�t�l�renue N� � �,," .��� �
_ �ridley,Nlf1t 55432 �
. 763-572-3566 a � o - �?.�y o � -o�
'0'"fe hereby auiharize Yhe Crty af Fridley andJor its employees to sto whaC+s necessary ta
replace the water s�neter. i�nderstand that the properiy owner�s tiable for fihe water iine from the main to the premise and ali irrterior
plumbing. (Per C'rty sode 402.069 i alsu hold tfie City vf�ridiey andJits employees harm4ess#or er�y�Jamages ifiat may occur while daing tFiis
opera#ion. 'Shis to�nclude,bufi no8 limsted to valves,piping,waiis,€loors or the zurb stop box and service 1ine. in understand d am also requiE
to obtain a permit prior to,any wo�c,�f aecessary.
FIt1[AL 1kiETER READfNG�old meterj � � /� / � v
,
1Yame:_✓"7"ti V�l/l �'(� �r G� Address ��7 G Q ��� u �� Y� •
Phone 9Yumber f�� � t� �J� p� �'' � '� � t
Signature Wtiness S+gr�ature
OLD METER#�� ���� `L�
OLD READl1NG � � l � f �v
NEW METER# '��8 �0 7a� 5�
NEW READtt1iG �/
ERT# ` � � C �J �.t(d �
FRIDLEY CfTY COD£
CI-�APTER 402.WATER,STORM WATER AND SANITARY 5EWER
ADN1!'NIS'i'RA7'ION
�Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
aazs QE�nrr F�E
Prior to constructing or repair rnf any watec aF sewer fine connecting the existing muniapai system and arry hause or buildi�fos�which tfie
applic�tion is made,the oMrner or corrtractor sha(1 be required to obtain a permit for such connection,and shall pay a pertstit fee as pravi,ded'm
Chapter 11 of ihis Code. After such connection has been rnade,the Water and Sewer Departmer�t shali be notified. It shatl E�untawFut to t�
arry connecting line until an inspect9on has 6een made and such cflnnection and the work inciderrt thereto has been approved by the Gty as a
proper and suitabte connection.
a02.06 REPAIKS AND MAI9YTEAfAMCE TO CONIICEC[1QN
After the initiai connection has been made ta the water senrice curb stop box or the sewer lead at the property iine or a water service tead has
been extended to the property iine fo�connedion,the appiicarrt,owner,or accuparrt os user o#such premises shali be ifabie fvr a11 repairs
required to any water line and sewer lines netessary for connection of the premises from the main to the premises. if the property�rner
�equests mair�tenance service or repairs be performed f�y the Ciiy,i3ae property oarner shall be charged for#�e�af the mai�nae and/rn
repairs,inctuding necessary street repairs at a rate set annually by an admsnistrative policy. it shati be the responsbitity o#the 2p�icarrt,
owne�,occupant or user to perform sCandard mairrtenance of the sewer senrice fine from the premises to the maia tnduding dehris dearing or
root cutting and ta mairrtain the water service curb stop boK for operability and at such height as wiH ensure that�t remains a6ove�e finished
grade of the land or property. {Ref 638,1156,1191j