Meter Swap 4
♦
4 Request Number: 16283
Pubbic Works Division
Service Request
Problem Address: 465 Rice Creek Terr Requested By: Joan for Gaig Anderson
Department: WATER ' A,ddress: No a�ess provi�d
ProblemlIasue: INSTALL AMR METER Phone Number: 763-913-2401
ScheduledD 2017-07-13 5cheduledl3me:
, � �il..l T � __
ACTION NEEDED:
Created by: Wendy Hiatt D�te Cresited: 2017-07-10
AC'ITON TAi�N:
_._..............._ �s�:..._��.�:�.....�___..�_�-
=���.
_........__........................._..___._......___ _.._..._............_..__...._._._._.__._......_.___.._....................._.__...__ _____ ���_
k
� Status: In Progress Submitter Haa Been �
Contacted
DateCompleted: � ,� 13 .r ,� Completedby:
��.�•'�",.
k'-'
��q - t��v-�.��., n�
, City o#Fridtey �� � ��
Water Departrreent �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��`Ne hereby authorize the City of Fridtey andjor its empioyees to do what is necessary to
replace the water meter. t understand that the property owner is liable fo�the water line from the main to the premise and al!interior
plumbing. (Per City code 4Q2.t16) 4 also ho4d the C'�ty of Fridfey and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to vafves,piping,walis,floors or the curb stop box and senrice liae, in understand 1 am afso required
to obtain a permit prior to any wortc,if necessary.
FINAL METER READtNG(cid meter)_ � { (� �v� �
Name• � �J Y�'f1�d��u�Address �YJ� K.��° �,���L— �t/1 �
Phone Number��3 ' L�J � �`W� Date � "— ��'— � `
�ignature LII[�M,. Witness Signature '`��'
OLD METER#� ��O � "Jp��
OLD READING ��� ��U 3 O
NEWMETER# _ - 1 t ✓� �� tv�
NEW READING �
ERT# � �� I S 1 � � I
FRIDLEY CITY CODE
CHAPTEIt 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord No 113,4f�,565,566,629,b38,662,922,98$,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer{ine connecting the existing municipal system and any house or buiiding fo�which the
application ss made,the owner or comractor shait be required to obtain a permit for such connectivn,and shaN pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water artd Sewer Departmecrt shaN be nat�ed. ft shaii be unlawfui to cover
any connecting line untii an inspedion has been made and wch cannection and the work incident tFrereto has been approved by the Ctty as a
proper and suitable connection. '
402.06 REPAIRS AMd MAiN'TEIYANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water sertrice lead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises shali be liabte for all repairs
required to any water line and sewer{ines necessary#or connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repeirs be performed by the City,the property owner shall be charged for the costs o�E the mairnenance and/or
repairs,incfuding necessary street repairs at a rate set annually by an administraCive pa{iry. It sfia{I fx the responsibitity af the applicar�t,
owner,occupant or user to perform standard maintenance of tfie sewer service line from the premises to the main including debris clearing or
root cutting and Lo maintain the water service curb stop box for operability and at such height as will ensure that it remains above fihe finished
grade of Che land or property. (Ref 638,1156,1191)
�� _� - -- ___.. � � ; �
� � � �
� � n � � ., �
� � ; �
,. � � � � � ; .. � �
� � m ; „
� � � �
._. I � � � � .
9 C� � � � � � � � N
�
�� � � � � � � '�
� � � �' �
� � ; � � � � � �
,� � a �
� � � � ` � � � '
; �. ; � � , � � �
�� ; � � � � � �
� � � � � �
: ; ; , : �
� , � ,�
� � ! � �. �
� �
� ; � � �
, � �
�
� � `� � �
� � �- �
� � T� ; � ,
3 � ° �' �� ' � � � �
� � � �
� � ; j � ..
� � �
. . � I . � I ' � .. r.. .
i ; 3 �
� ,�
; �
� :
# `' �. �
� � # � �
i � j � � � � � .
� �
�
� �
� � , � � � �
� �
�
z
� ,
� � - �
I
�