Meter Swap �
' Reques Number: 16438
Public Works Division
Service Request
Problem Address: 5376 Matterhorn Dr Reqnested By: Quanesha
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 612-229-6781
Scheduled Date: 2017-07-24 � Schednled TYme: 01:30:00
� � ` I`
AG ITON NEEDED:
Created by: Beth Kondrick Date Created: 201?-07-24
ACTTON TAI�N:
��.5�. � 1�a ��.�----
Status: In Progress Sabmitter Hss Been �.,
Contacted
Date Completed: �-���-'�-.(`"� Completed by:
a,�'�-
City of Fridtey �� " = ����`l��
� Water Clepartment �� :� ���
6439.llniv�rsity Avenue NE
Fridley,MN 55432
763-572-356ti
1/we hereby authorize the C�ty of Pridley and/or its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is{iable tor the water line from tbe main to the premise and all iMerior
plumbing. (Per City code 40Z.06) I a{so hold the City of Fridley and/its employees harmless for any damages that ma}t acaur while doing this
operation. This to inctude,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand i am alw required
to obtain a permit prior to any work,if necessary.
FIRIAI METER READtNG(oid meter} /� � � � ` �
Name• V(l/�.vvr 1�I'��, Address ���Y! /"4L1,���'`E`� �1 � r.
Phone 9Y � � � Date / `" ��—' �
Si ature Witness Signature �+
OLD METER# � � v ✓ � ✓ ��
OLD READlNG ��� � � ` "
�Ew ��-��# �E`�3.� �� C� �
NfW READING �•/
ERT# 6 ��� � !� C/
FitIDLEY CITY CODE
CHAPTER 402.WATfR,STORM WATER AND SAiNITARY SEWER
AOMlNISTRAi'IOPI
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to cortstruding or repair of any water of sewer line connecting the existing municipaf system and any house or buiiding for which the
application is made,the owner or corrtractor shaH be required to obtain a permit for such connection,and shali pay a perm�t fee as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Seuver Department shall be not�fied. It shait be uniawful to cover
a�y connecting line until an inspection has been made and wch cannection and the work incident thereto has been approved by the City as a
praper and suitahle connection.
402.06 REPAIRS AND MAINTENQNCE TO COPlIYECTION
After the initial connection has been made to the water service curb stop box or the sewer iead at the preperty tine or a water service{ead has
6een extended to the property line for connection,the applicant,owner,or occupacrt ar user aF such premises shail be liable for all repairs
required to any water line and sewer lines nec.�ssary#or connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perfiormed by the City,the property owner shalt be charged far the costs of the mair�tenance and/o�
repairs,inciuding necessary streeC repairs at a rate set an�ually by an administrati�e poliry. tt shafl be the responslbility of the applicar�t,
owner,occupant or user to perForm standard mairrtenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and�o mairrtain the water senrice curb stop box for operability and at such height as wi[l ensure that it remains above the finished
grede of the land or property. (Ref 638,1156.1191j
ReqUe�t fc�r S+ervic� Re�rf
C�iy of Fridi�:y
��r�: so�-72-� ���: �r�o�2
R�queat Type: Sewer back�p ehe�d�c Gt�r�ain Ertereci By: Wendy 1-�att
[�p�rtment: Sew� C�en Nar�e: �Eng�sen
�� 537�6�IATTEF�HQFtM �R NE a�ek f�#rcme: �63-571-�4
�du�leyd [)ate: .
Loca�ic�De#aiis; � Details= Back�_ (�edc Crtjt Main
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