Meter Swap Request Number: 14328
Public Works Division
Service Request
Problem Address: 6351 Squire Dr Requested By: Ptul
DepartmeM: WA'IER Address: No a�ress provided
, Problem/I�sne: INSTALL AMR METER Phone Nwnber: 6121-770-8047
Schednled Dat • 2017-03-31 Schednled 1lme: 11:30:00
_� � IS1 �
J y {
ACIION NEEDED:
C�eat�d try:' We�y Hiatt Datc Crented: 2017-03-27
AC7ION''�`�N:
�.S�.C(�d ��c,�---- ,
;
t�
Status: In Progfess ����r Has Been r
Co�sicted
Date Completed: � � ?j j— (,� Compieted by: ��
��.�; - �j�a �`�7c� CG�
SU-� 33`� 1
" City of Fridley
Water Department
5431 University Avenue NE
Fridley,MN 55432
763-572-3566
�1We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all intsrior
plumbing. (Per C'�ty code 402.06) 1 also hold the Ctty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to incfude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also requkpd -�
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter} ` �V � � �
Name: ��� � Address C�35( Sja_(�,�1/� �r•
Phone Number ��Z ���O � ��i� Date � � a 1 — l�
Signature Witness Signature ��_
OLD METER# O�c������U"
OLD READING ���✓�d
NEW METER# i � 4� � � v�
NEW READING �
ERT# � I ` �` / - t J � .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line cannecting the existing municipai system and any house or building for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shall be unlawful to cover
any conneding line until an inspedion has been made and such wnnection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at tfie property line or a water service lead has
been extended to the property line for connection,the appiicant,owner,or occuparrt or user of such premises shall be iiabte for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance seroice or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shaN be the responsibil'�ty af tfie appiicarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includir�g deb�is clearing or
root cutting and to maintain the water servite curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)