Meter Swap ,, 4 Request Number: 13175
Public Works Division
Service Request
Problem Address: 5581 Matterhorn Ik Requested By: Carol Dooley
Department: WATER Address: No address provided
ProMem/Isaue: INSTALL AMR METER Phone Number: 5741871
Sc�eduled Date: 2017-02-02 Schedaled Tl e: 01:30:0(1
_ n'� �,�3�
ACIION NEEDED:
Crented by: WendyHiatt D�te Created: 2017-01-30 -
ACTION T.�i�N:
.. �✓l,��c�,��� �/le� �- ��
-
Stat�: In Progess ���er Hn�Been �
Co�acted
D�teCompleted: a,� a.'' /� Compietedby: �a`G�
Hoers
Wate��epartax'ent �
6431 Universityr Aversue N� �L' .� j�
Fridleya MN 55432 � �
µ _ . 763-572-3566 � � ,j � �� J� �(� f
" �/w� hereby authorize the C'rty af Fridley andJor its empioyees to da what is necessary to
rep9ace the water rneter. 1 understand that#he property owner is Iiable for the water line from the main to the premise and all enterior
piuerebing. (P�r City code 402.06) i also hold the Cifij of Fridley andJFts employees harmless for eny damages that may ocwr while doing this
operation. This to incfude,bufi not limited to vaives,piping,walis,floors or che curb stop box and service line. in a�ndersWnd!am also require�
to obtain a permit prior fio any�eror4c,if necessary.
FINAL METER READING(oict meter)_ I y � � v � `�
Name:L�`1 � � Address__.�kJ V � �IDIA T�-lf �'1�JT`� �,.
Phone Number "' � p� �, — �, -- ���
Signature WFtness Signature —
y ,,
OLD METER# � I � I �d�5� , �'
OLD READtNG 15 S 3 0 � �
f1iEW METER# � �� � 7 a � �
NEW READING v
��# � 1 �3 � 3 � � 5 .
FRIDLEY ClTY CODE
CHAPTER 4Q2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,I144,I156,1191)
402,5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arty house or butidingfor which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided i��
Chapter 11 of this Code. After sucf�connection has i�een made,tfie Water and Sewer Departme�shall be notffied. Ft shatf be un(awfut to cover
any connecting line until an inspection has been anade and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND lIAAIRII'EfypdyCE TO CONNECI'ION
After the initial connection has been made to the water service arb stop box or the sewer lead at fihe property li�or a water serme Iead Nas
been extended to the property line for connection,the appticarrt,owner,or occupant or user af wch premises shati be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance service o�repairs be perFarmed by the C'rty,the proper+ty owner shall be charged for#he costs of ffie mairrtenar�e andJor
repairs,includ'+ng�ecessary street repairs at a rate set anoually by an administrative poliry, ft shall be the responsibility of the applicarrt,
owner,occupant or user to perform standar+d mairrtenance af xhe sewer senrice line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb sfiop box for operability and at such height as wiil ensure that�t remains above the finished
grade of the land or property. {Ref 638,1156,1191)