Meter Swap Request Number: 13477
Public Wo�s I)ivision
Service Request
ProMem Address: 6055 Mcldnley St Requested By: Barbara Nichols
Depwrtme�: WA'IER Addreas: 6055 Mckinlcy St
Fridley,MN 55432
Pro�emlIsaue: INSTALL AMR ME'IER Phone Nnmber: 763-571-0460
Schedrled Date: 2017-0 -21 Scbednled Ttme: 08:30:00
�.�5 s �r- g';�
ACTION NEEDED:
Created by: Beth Kon�ick Date CreMed: 2017-02-1 S
ACITON TAKF.N: �
...._...._____.._��-S�C(��
:�.:
5txtus: 1n Progess ��rter HAs Been r.
Contacted
Ds�te Compieted:�.•�o,,1.��� Completed by: ��4„�
'�'�
_'""' _���..a C _. /. .
\
6431�Bs�iversity Avena�e Pi� � �,' �� �`�', /�,,
, Fridley,MAi 554,32 /
.
763-572-3565 �1� �� g� ��� --� � .�
�IWe hereby authorize the�ity�f Fridley and/or its employees to do what is necessary to
replace the water meter. t understand tha#the property owner�s Iiable for the water{ine from tfie main to tfie premise and a0 iMerior
plumbing. (Per Gty code 402.06� 1 also hold the City of fridley and/'�ts employees harmless#or eny damages that may occur while doing this
operation. This#o�ncfude,but not Bimited io ualves,piping,wai{s,floors or the curb stop boz and service line. in understand I am also requir
to obtain a permit prior to any�ror�c,if necessary.
FIIVAL METER READING{otci meter) ���✓ g�
!Name:��`�r 0. ���/� � '�i Address l.�V J 7 ��/�`I'��7�iS/ �•
Phone Number��i�— J�� "0~�� p� ,1 • ��� ��
�n�re Witness Sibnature
o�D ��-�R#_ �!�'��3�
OLD READtNG_�- f 7�,S (/`�
NEW MEfER# - f U��� ( � �
NE1N READIf1iG �
ERT#_ � � � I �V!�Q �
FRIDLEI(CITY CODE
CHAPTEEt 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIISTRATION
(Ref Ord No 113,464,565,565,629,63$,662,922,988,1144,1155,1191)
402.5 PERMtt FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buildFr�for which the
epplicat�on is made,the owner or corrp actor sha(I be required to vbtain a perm'rk for such wsutection,a+�d sReall pay a perm�fee as provided irr
Chapter 11 of thts Code. After such connection has been rnade,the Water and Sewer Departme�shall be notified. it shall be uniawful to cove
any connecting line until an inspection has 6een made and such connection and the wo�c inaderrt theneto has beer�approved by tbe CF[y as a
proper and witable connection.
402.06 REPAiRS AND�ItAtfY'1'EIyqNCE TQ CONNEC710N
After the initia►connectiort has been made to the water service arb stop bo�c or the sewer lead at tfie praperty iirre or a water senr�ae lead has
been extended to fihe property line for connection,the applicarrt,owner,or accupant or user of such pnemises s6aN be IiaMe for a11 repairs
required to ariy water line and sewer tines necessary for connecfion of the premises from the main to the premises. If the property�rner
requesis mairnenance service o�repairs be performed by the C'ity,the property owner shali be charged for the costs of the mairrtenance and(or
repairs,including necessary street repairs at a rate�t annually by an administrative poliry. it sf�all be the respo�bili�ty of the applicarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer service tine from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wi(i ensure that it remalns above i�e finished
grade of#he land or property. �Ref 638,1156,1191)