Meter Swap � '
` Request Number: 14480
Public works Division
Service Request
Problem Address: 5216 Pierce St Requested By: Greg Lac�dkamer
Departmeat: WA'lER Address: No address provided
Problem/Issue: IN5TALL AMR METER Phone Number:
Schednled Date: 2017-04-03 SchedNed 1lme:
ACIION NEEDED:
Crented by: Weudy Hiatt Date Created: 2017-04-03
ACTION TAKEN:
Status: 1n Pro�ess Snbmitter H�Been r,
Contacted
Date Compieted: Completed by:
�
City of Fridley
Water Department
6431 University Avenue NE t�����,��
Fridley, MN 55432 �"'j �- l.
763-572-3566 �� � ����
i/we hereby authorize the City of Fridiey and/or its employees to do what is neceuary to
replace the water meter. 1 understand that the property owner is liabte for the water line from the main to the premise and all iMerior
plumbing. (Per City code 4U2.06) I also hold the City of Fridley andjits employees ha�mless for any damages that may occur while doing this
operetion. This to include,but not limited to valves,piping,waiis,ffoors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
t"" Q .
FtNAI METER READING(ofd meter) ���� ��
Name: l��� ��'1�kQ i'41.C,/" Address �`'� �:-`'�`� � � ���
Phone Number 9S'a d r�. S`a,�g Date �y ����
Signature Witness Signature ,y,
OLD METER# � ��Ju�` � r
OLD READING � �I � ` ���
NEW METER# � D 4v ���
NEW READING Y-� �
ERT# t � V , CJ� r �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191y
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or buildi�for wfiich the
application is made,the owner or contrector shall be required to obtain a permit for such connedion,and shell pay a permit fee as previded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the woric incident thereto has been approved by the City as a
proper and suitable connection.
4(�:� REPAIRS AND MAINTENANCE TO CONNEC770N
- After the initiaf connection has been made to the water service curb stop box or the sewer lead at the property iine or a water service kad has
been extended to the property tine for connection,the applicant,owner,or occupant or user of such premises shaH 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 properiy owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mai�tenance andla"
repairs,including necessary street repairs at a rate set an�ually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer senrice li�e from the premises ta 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 tfie finished
grade of the land or property. (Ref 638,1156,1141)