Meter Swap �
�
Request Number: 15899
Public Works Division
Service Request
Problem A�ddreas: 1251 Gardena Av�e Requested By: Ki Hyun Han
Department: WA1ER Address: No a�ress�ovided
Problem/L�sue: INSTALL AMR METER Phone Nnmber: 763-412-2816
ScheduledDnte: 2017 6-12 � uled'llme: 11:00:00
Q
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-09
AC'IION TAI�N:
._.______�_._+n�-�.1....�_..�M...(.�..._..._....__..................___-.. ___._ w__ ._...___.__..___--_______--�---_
Status: In Progress Stibmitter Has Been r,
Contacted
Date Completed: Completed by:
V'_ �'L_ �R,./��1�
� +1
t'A'
c4.'
� .. y,�t:.i-:
c;a;
�` �1#y O'��i'1Ca'�Y ��� w ��� t I � O�
• U{/a�et'DeOSa�tP6'1�11# � G
&431 lJnaversaty Aa�enue IYE � � �SD�-
Fa-6d9ey, MN 55432
763-572-3566
!/we hereby autfiorize fihe�'ity of Fridley andJor its employees to rlo what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all irnerior
pBumbing. (Per�ity code 402A6) 1 also hold the City of Fridley and�ts employees harmtess for any damages that may ocwr while doing this
operation. This to include,but not lim'rted to valves,piping,walls,floors or the wrb stop lhoK and service line. In understand l am also requirf
to abtain e permit prior to any avo�,if netessary.
F1NAL METER REApM6(old meterJ ���� � � �
Name:,� {�Gl,�� Address _ `' VtJ ' V� � �
Phone 9Yumber '" �'�1D p� �j"' `� ��
�Signatur Witness Signature_ ��„
O!D METER# ���� '�.J���
OLD READING _ ��� ) � I�
NEW METER# _� �,� (i2 �� ` t�
NEW READtNG �
��# ��122 �0182 �-
FRIDLEY tITY CODE
CHaPTER 402.WATER,STORIIA WATER AND SANITARY SEWER
ADMINIS'fRATION
(Itef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line co�necting the existing municipal system and arry house or buiiding for which tl�e
application is made,the owner or coritractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shalt be notified It shall be un(awfut to co�er
any tonnecting line ur�tii an inspection has been rnade and such connection and the work inciderrt thereto has 6een approved by the Ctty as a
proper and witable connection.
402A6 REP,4tRS ANQ MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the praperty fine for sonnection,the applicartt,owner,or occuparit or user of such premises shall be liable for all nepairs
required to any water line and searer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of ifie mairttenance and/a�
repairs,including necessary street repairs at a rate set annuaNy by an administrative potiry. ft shall be the responsibitity of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main inc{uding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains ahove the finished
grade af the tand or property. (Ref 638,1156,1191j