Meter Swap �
,
` Request Number: 16344
Public Works Division �
Service Request
Problem Address: 5572 Fillmore St Requested By: Margaret
Dep�rrtment: WATER Address: No a�ress provided
Problem/Isaue: INSTALL AMR METER Phone Number: 574-1901
Scheduled Date: 2017-07-`1f9� Schednled Time: 09:00:00
��' r I
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-17
ACTION T.�I�N:
.�..�-��.�1............�-...�..� __..__�___ _.._.__...___..._.._......______�__.__.__
Status: In Progress Submitter Has Been �..
Contacted
;�
Date Completed: Completed by:
Hours ��
.^1- ( �- 1�
.�
4
�i��f Fraclley ��u �� "1 / � �-�'� V ._ �/ �
• �ilfates De�aa�tenen# y� r—
f431 llnsversity Avenue NE Sv� ���i �
Frid�ey,MIV 55432
753-572-3566
�/'"�e hereby authorize the City of�rid(ey and/or its employees to do what is necessary to
replace the water meter. t understand that the property owaer is liable for the water line from the rnain to the premise and all ir�terior
plure�bing. (Per�'ity code 402.06) 1 also hold the City af Fridley and/its employees harmless for arty damages that may occur while doing this
operation. This to 9nclude,but not limited to va(ves,piping,walts,floors or the curb stop box and senrice line. tn understand 1 am also requirE
to obtain a permit praor to any work,if necessary.
FINAL METER READING(old meter} � � (� � `�
Name;_�—�Q'� Address��� �j 6 I �M OY'�.� �
Phone�lumber�__(`7 , lo, �.' 6�,� �,�
Date
�j Si�e Witness Signature �� �--�
OLD METER# U f"� 3 2� 1 �
OLD READING V� � 1 � ��
NEWMETER# `����� J�.J
NE11V READHVG O
ERT#�� 1 ��v�
FRtDLEY CITY CODE
CHAPTER 402.WATER,STQRM WATER AND SANtTARY SEWER
ADMlNISTRATION
(lief Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191} '
402.5 PERMl7 FEE
� PMor to�onstructing ar repair of any water of sewer line connecting the existing municipal system and any house or Enailding for which the
application is made,the awner or contractor shait be required to abtain a permit for such connection,and shaN pay a permit fee as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmer►t shal(be nofified. It shail be uniawfut to cover
arry connecting tine until an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
groper and suita6le connection.
402.06 REPAIRS AiYD MAINTENANCE TO COi1NdECTiQN
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property!'ine or a water senrice lead has
been extended to the property line for connection,the applicar�t,owner,or occa�parrt or user of such premises shall be iiable for all repairs
required to any water line and sewer li�es necessary for connection af the premises from the main to the premises. If the property awner
requests maimenance service or repairs be perFormed by the C'rty,the property owner shall be charged for the costs of the mairrtenance and/ar
repairs,inc4uding necessary street repairs at a rate set annually by an administrative policy. It shall 6e the responsibility of the applicant,
owner,occupant or user to perForm standard mairrtenance 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 fos operability and at sucFt height as will ensure that it remains above the fiinished
grade af the land ar property. (Ref 638,1156,1191j