Meter Swap ' Request Number: 14325
Public Works Division
Service Request
Problem Address: 6620 McKinley St Requested By: Jxob
Departme�: WA1ER Addreas: No address provided
Problem/Iasue: INSTALL AMR METER Phone Nnmber: 612-309-4801
5cheduled t . 2017-04-OS Scheduled 11me: 02:00:00
� �� �- �
ACTiON NEEDED:
Created by: We�y Hiatt D�te Created: 2017-03-27
ACIION TAI�N:
��-s�-�►� P���-
Status: In Progress Snbmitter HAs Been r.
Coutacted
Date Completed: Completed by:
�-5-- 1� --� ��---
�
�� � �- L��23� ' �2
- City of Fridley ��� �(���
Water Department �
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ail interior
plumbing. (Per City�de 402.06) 1 also hold the Ctty of F�idley and/'ns employees harmless for any damages that may ocair while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the aub stop box and service line. In understand 1 am also required
to obtain a permit prior to any worlc,if necessary.
FINAL METER READING(old meter) �� � � � �o
Name:cJ��kJ Address_ � `-'� ��� ��
Phone Number Y,1 ✓ rJt_l {'" �w Date �"�� ��
Signature YV"Kness Signature
OLD METER# �� �� ?j���
OLD READING O� t� � L�
NEW METER#����IJC�t1
NEW READING �
ERT#� ���i JO�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref 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 connecting the existing municipal system and any house or building fair which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to wver
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water serv�lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Ilable for all repairs
required to any water line and sewer lines necessary for connectioo 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 shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an admi�istrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the�inished
grade of the land or property. (Ref 638,1156,1191)