Meter Swap �
� Request Number: 16379
Pu61ic Works Division
Service Request
Problem Address: 6005 Gazdena Circle Reqnested By: Jessalin
Department: WATER Address: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-723-7560
' Scheduled Date: 20 7-0?-19 `�'� 5cfiednled'i3me: 08:30:00
� 8:`3�
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-18
ACTTON TAI�N:
__._�:.��._�........_.....��..��-�........__.._.............................._....._......_.........._...._....______...._�. .__...._ .___._.._
Status: In Progress Submitter Has Been r
Coutacted
Date Completed: �_ �� �� Completed by: { ��
-- J�
� � � ` `-t /�� �� .� ���
� �i�:y���'rael(ey
. 1A/ater�epartrva�n# �
6431 Unaversity Avenue NE ��
Fristiey,MN 55432
7�3-572-3565
1/we hereby authorize the City of F�idley and/or its empioyees to do+�rhat 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 imerior
plurnbing. (Per�C'ity code 402A6) 1 also hold the City of Fridley andjits emplayees harmless#or any damages that may occur wfiife doing this
operation. This to include,but not limited to valves,pipin�walis,floors or the curb stop box and service line. in understand 1 am also require
to abtain a permit prior to arsy work,if necessary,
FINAL METER READIAtG(old meterj ��� •�
Name: ��'�CI�.�,1 h Address VQ 1" �
Phone 9�umber Z` "�S�Q� p�, � � ��""',�
�/ Signature WitnessSignaivre
!/�
oLDM�-�R# I��� �� gg
OLQ READlNG O g2 `�l0 --� S n o w�► c c �-�' ��s � �� _
WEW MfTER# �i 9355�31
PIEIA/ READlNG v
ERT# [(7��� 6 � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AfVD SANITAltY SEWER
ADMlNISTRATION
(Ref Ord Ato 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
� Prior to�constructing ar repair of any water of sewer line connecting the existing municipal system and arry house or bui(ding for which the
application is made,the ourner or contrackor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connecCion has been made,the Water and Sewer DepartmeM sha�t be natafiecf. It shai!be uniawfu!to cover
any conneding line unti(an inspecCion has been made and such connection and the work incident thereto has been approved by tf�e Crty as a
proper and suitabie connection.
402.06 REPAIRS AiYD MAINTENANCE TO CO111NECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property tine or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant ar user of such premises shall be iiable for alt repairs
required to any water(ine and sewer lines necessary for connection of the premises from the main ta the premises. tf the properly owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for ifie c�ts of the maintenance and(a�
repairs,inciuding necessary street repairs at a rate set annualty!�y an administrative policy. It shall be t(ie responsibility of#he applicant,
owner,occupant or user to perform standard mairrtena�ce of the sewer service line from the prem�ses to the main inctuding debris clearing or
root cutting and to maintain#he water service curb stop box fo�operability and at such height as will ensure that it remains above tkte�nished
grade of the land ar property. (Ref 638,1156,alsz)