Meter Swap L �
Request Number: 14636
Public works Division
Service Request
Problem Address: 5209 Lincoln St Requested By: Geralyn Peel
Department: WATER Address: No address provided
Problem/Issue: INSTALL t�MR METER Phane Number: 612-770-0425
Scheduled Dat • 2017-04-14 Scheduled Time: 07:30:00
� 1 � �� a
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
ACTION TAKEN:
� �7/� �,`�--�
............._._......................._.............._���.......................�_l�,r_...........___..........................._.._.��,..�:__.....•".......................................__.__..._..........._.___........._..........._....._..�..__.....__.�......�..._.._...
� �:
Status: In Progress Submitter Has Been C
Coutacted
Date Completed: �..- ��,{ „� �� Completed by: ����
l
y;;
�,
� .
/ � �� ir��� ��� r ��
�
City of Fridley ��� '"�� �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridiey andJor its employees to do what 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 interior
piumbing. (Per City code 402.06) I also hold the�ty of Fridley andjits employees harmtess for any damages that may occur while doing this
operation. This to inctude,but not limited to valves,pipi�g,walis,floors or the curb stop box and serviae line. In undentand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(otd meter)
� ���S a
Name• `� 1� °� ' l�dress �KT� l �1\��F3��, � •
Phone Number td(;�.— �o� d��„�j' Date � � �� v ��
Signature Witness Slgnature ��
OLD METER# �� ��/� � �/
OLD READING ��i�� 6 ��
,
NEW METER# y�� ` ���
NEW READING �
ERT# ���� `U 1
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER AND SANITARY SEWER
ADMINISTRATION
(Ref OM No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and a�ry house or buliding fw which t�e
application is made,the owner or to�ractor shall be required to obtain a permit for wth connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notifted. it shall be unlawful to cover
any connecting line untii an inspection has been made and such connedion and the wurlc incident thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiaf connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the applicarrt,owner,or oaupant or user of such premises shail be Uable for aR repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. ff the propert�r owner
requests maintenance service or repairs be performed by the C'�ty,the property owner shall be charged for the costs of the mairnenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shalt be the responsibility o#the appiicant,
owner,occuparrt or user to perform standard maintenance of the sewer service li�e from the premises to the main including debris dearing or
root cutting and to maintain tfie water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade ofi the land or property. (Ref 638,115b,1191)