Meter Swap ,
� Request Number: 16509
Public Works Division
Service Request
Problem Address: 5213 St Moritz Dr Requested By: Jim 5tapleton
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-T89-2353
Scheduled Date: 2017- 8-01 Scheduled'Iime: 10:30:00
� I S'� D;
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-28
ACTION T .
� •Y t � � �
.____............................_._..._.._..........._........................�......._...___.____............�__..._........_._..........._____...................._....__..._..................._..�._.......__....._.._.._...._............_...__....._._..�..�......._...�.._.
Status: In Progress 5ubmitter I�as Been r.
Contacted
Date Completed: Completed by:
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„ � Water�epar�merot �(`�� /,//(��
6431!J navers6ty�#venue NE �
Fridley,MiV 55432
753-5723565
'd`Afe hereby authorize the City aF Fridtey artd/or its empPoyees to do what is necessary to
replace the water meter. !understand that the property owner is liable fflr the water line from the main to the premise and all ir�terior
plumbiag. (Per�City code�OZ.06) B also hold the City of Fridley and�ts employees harmless for any daenages that enay occur while doing this
operatian. This to intfude,but not limited to valves,piping„walis,floors or the curb stop box and service line. in understand I am aiso require
to obtain a perm+t prior to any worlc,if necessary.
FINAL METER REAQINtG{old meter)_ � 1 � � 1�
Plame:�LrY\ c����� Addcess �) ��� �ST � �b•f�� � ✓�
Phone�lumbe `v r� r �� J��pafie �T �^ v�
_._.....
Sign Witrtess Signature
o�.D �� # �� ��C/ � ��
OLD READING � � y ��a
NEW METER# - 1�J cs�� ��
NEW READING�
ERT# � L-�. 1 � I � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM W�1TER A�VD SANiTARY SEWER
ADMINISTRATIOW
(ltef Ord No 113,464,565,566,fi29,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the exist�ng municipal system and any house or bui(ding fo�which the �
appiication is made,the owner ar contractor shaU be required to abtain a permit for such conoection,and sha(I pay a permit fee as provided i�;:,.
Chapter 11 of this�ode. After such connection has been made,Lhe Water and Sewer Departmerrt shall be notified. it shall be unlawful to cove�
any connecting line until an inspection has been made and such connection and the wor{c inciderrt therefio has been appraved by tF�e Crty as a
proper and suita6le connection.
402.06 REPAIRS AiYQ MAIPiTEPIANCE TO COPINECTION
After the initial connection has been roade to the water service cur6 stop hox or t(�e sewer lead at the property line or a water senrice lead has
been extended to fihe praperty line for connection,the applicant,oarner,ar occuparrt ar user of such premises shalf be liabte for all repairs
required to any water line and sewer tines necessary#or connection af the premises from the main to tF�e p�emises. ff the groperty owner
requests maintenance service or repairs be perFormed by the City,the property o+aner shall be charged for the costs of the maiMenance andjo�
repairs,including necessary street repairs at a rate set annual(y by an administrative policy. It shall be tF�e respar�sibility of the appliqrrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inctuding debris dearirtg or
root cutting and xo mairrtain the water service curb stop hox for operability and at such height as wii(ensure that it remains above the ftnished
grade af the iand or property. (Ref 638,1156,11919