Meter Swap .
R
Request Number: 1 554
Public Works Division
Service Request
Problem Addresa: 5212 St Moritz Dr Requested By: Jason Shellack
Department: WATER Address: No address provided
Pro�em/Issae: INSTALL AMR METER Phone Number: 651-245-9109
Schednled Dste: 2017- 8-08 Schednled'ilme: 01:30:00
--�1
�e ,� ' ' 3 b
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-08-01
ACTION TAKEN:
_...........__._._................................._......��:s�.-�,�..�:e�1.......................__..._.���.. .__..._...�..._.........................___..... _....._.___..._____.�.:��..._.
�---
,,
,
,
�
; :�
F
Status: In Progress Submitter Has Been �
Contacted
�
�
Date Completed: Completed by:� ,
� � l� �.��
::
�: �
��
A
�
w �6����o�cller�
��t���e�a��,��� Z( �1���l I �1 D'a2
5431 i�rsaversity Avenese NE �� � �
Fricll�y,�1N 55432 � �
763-5�Z-3565
','''�e hereby authorize the City of Fridley and/or its employees to sio what is necessary to
replace the water meter. !�nderstand that the property owner is Biable foe ghe water liae from the main to the premise and all ir�ter3or
pturnhing. {Per City code�02.06] 1 also hold khe�ity of Fridley andJ'sts employees harmtess£or arry daenages that enay occur while doing this
operation. This to include,but not limited to valves,piping,walts,floors or the curb stop box and service iine. in understand 1 am also require
to abtain a permrt prior to any wortc,if necessary.
FIIYAt METER READIAiG(oid meter} J �
Name• _ �Qil���fr1 ���t�L d�ddress_ ;/� �p� ,�-'� ���(�.- �1�`
one lVum6er_W J� "� � ` � {�V 1 Date �� ��' L�
Si�natur�V V Witness Signature
��D ��E�.� �5�5 �v�m
OLD READlNG � � l� � ,
' ��1� 35 � g � ��
PiEW METER# �.
NEW READING � �
��-# �a� a �aa : .4� � ��
�
-�.:
FRIDLEY�ITY CODE
CF6AP'["ER 402.WATER,STORM WATER,4�UD SANtTAItY SEWER
ADMlNISTRAT{ON
��tef Ord No 113,464,565,566,629,538,662,922,988,11Q4,1156,1191j
402.5 PERMIT FEE
.� Prior to�onstructing ar repair of any water of sewer iine connecting the existing municipai system and any house or bu(tding for which the
application is made,the owner or contractor shal(be required to obtain a perrttit for such connection,and shall pay a permit fee as provid�ed in
Lhapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal(be notified. It shall be unlawful to covet
any connecting line until an inspection has been made and such connection and the wor{c incident thereto has been approved tiy the City as a
groper and suitable connection.
402.06 REPAIRS AiYD MAIPITENANCE TO CONNECTtON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a arater servke iead has
been extended to the property line for connection,the applicarrt,owner,or occuparrt or user of such premises shall he liab(e for ait repairs
required to any water line and sewer{ines necessary for connection of the premises from the main to the premises. lf the ysroperty owner
requests mairnenance service or repairs be performed by the�ty,the property owner shail be charged for the costs of the mairnenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrative policy. !t shatl 6e the responsi6i{ity af Cfie app{icarn,
owner,occupant ar user to perform standars!maintenance of the sewrer service line from the premises to the main includin�debris clearirtg or
root cWtting and+to maiMain the water seroice curb stop 6ox for opera6ility and at such height as will ensure that it remains abrnre the finished
grade af the fand or property. (Ref 638,1156,1191j ;
g ��'
�;
w,^�.-
,.+x- a -,
•H �� .
�..
'��.