Meter Swap � Request Number: 13461
.
�
Public Works Division
Service Request
� Problem Address: 1338 Hillcrest Dr Requested By: Gerald Holm
1338 Hillcrest Dr
Depxrtme�: WATER Address: Fridley,MN 55432
��blem/Issne: INSTALL AMR METER Phone Number: 763-571-7363
Scheduled Date: 2017-02-24 � Sc6eduled 11me: 10:00:00
ACTION NEEUED:
�
�., .
Created by: Beth Kondrick Date Created: 2017-02-14
ACIION TAI�N:
._ _ ���-ll��
� �
, } _.
Status: �p��ss Sabmitter Has Been r
Co�acted
Date Completed:�� �),� �� Completed by: �a
.�` �
------- --r�............ �
�431 lOnivessit�P,ven�ae N� \
Fridley, Mi11 554�2 0_.,1 ) ��
Y �/ �
753-5?2-3566 �
�'w�- hereby authorize the City af Fridley and/or its empioyees to do what is�ecessary to
replace the water rneter. t vnderstand that the properky owner is liable for the water line from ehe main to the premise and all interior
�'plurrebing. (Per Crty code 4A2.06j i also hold tfie C'rty�uf�ridley and/'rts employees harmiess#or any damages that may occur ivhile doing this
opewation. This#o include,but not limited io va{ves,piping,wa{Is,floors or the curb stop box ancl senrice line. In understand 1 am also requtr
to obtain a permit prior to any�rorlc,if necessary.
�„ll " � �� f 1� 0 � � �
flNAt METER READING(ald meterj I O V/ / /1'�V V
Alame:�'�_r�(/�l� 1 lV`� Address _ 1✓�(J ���i�,c►I v'� �'•
Phone Number.i��� � / �" ( ���j Date _ �•.' ��'� ��
Signature W�Mess Si�nature �
OLO MfTER# ��S 1. ���'('f
OLD READtMG�0� ! ��%�v
NEW METER#�� 1�� � {� i� 3
NEW READING �
ERT# ` � 0� � �
FRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WA7'ER AND SANI7ARY SEWER
armni�v�sr�ano�v
�Ref Ord No 113,464,565,566,624,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer tine connectang the existing muaicapat system and arry fiouse t�r buildir�for w6ich the
application is made,the owner or corrtractar shal!be required to obtain a permifi for sucb connection,and shali pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be nptified. it shafl be uniawfui to cove
any connecting line ur�til an inspection has been made and such connection and the work inadent theceto has been approved by the City as a
proper and suitable connecCion.
�02.06 REPAiRS AND MAfNTENANCE TO COAtNECT101M
After the initia!connection has been made to the water service curb stop 6ox or the sewer le�l at the property line or a water senrice teacl fras
been exfiended#o fihe property line for connection,the appiicarrt,owner,or occuparrt or user af such premtses shali be Itabie for ail repairs
required to arry water tine and sewer lines necessary for connection of the premises from the main to the�remises. tf the property owner
requests maintenance senrice or repairs be pert'ormed by the City,the proper+ty owner shall be charged for the costs af the mairrterrance and/or
repairs,includ'sng necessary street repain at a rate set annually by an administra#ive poliry. It shal)be the sesponsibility vf the applicant,
owner,occupas�t or user to perForm standard maimtenance of the sewer service line from the premises to the main inciuding debns dearing oc
root cutting and to maintain the water service curb sfiop box for operability and at such height as wili ensure that it remairu above the$nished
grade af#he land or property. �Ref 638,1156,1191)