Meter Swap � Request Number: 13385
,
Public works Division
Servlce Request
Problem Address: 5849 Temrison Dr Requested By: Andy Rolfe
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phoae Numbec: 651-641-98?5
Scheduled Date: 2017-02-17 Sc6eduled 1lme: 09:OO:OU
� ��
ACTION NEIDED:
Created by: Beth Kondrick Date Cre�ed: 2017-02-09
ACTION TAI�N•
, � .
�'
;:;�..
,:�:� - _..___ ._ ____.____._. ._._.....
,.\ ,
Status: In Progress Submitter Ha�Been �
CoMacted
D�te Completed: Completed by:
2 - �-� �.l�-1 -�°��`
Water�e�sat'tex'ent y "� r /
6431 tDniversitvf aAveroue P1� 5� � I ✓�� �
Fridley, MfV 554�2 ,, .� ��
753-572-3565 ,-�- ��) "y �� 7(�L� � �''..�
Ifwe her�6y authorize the Crty srF Fridiey and/or its emp?oyees to do what is necessery to
� replace the water meter. �understand that#he prope�ty owner is liabie for the+water line from the main to the premise and a117nterior
plurnbing. (Per Cityr cocie 402.06j i also hold the City of Fridley and/'rts empioyees harmless#or any damages that may occur while doing tPris
oper�tion. This to snclude,but nat timited to valves,piping,waits,floors or tl�e curb stop box and sen►ece 1ine. In understand!am also require�
to obtain a permit preor to any wor4c,if necessary.
FINAL METER READ1AiG(o!d meter) �� � ` � ��
�lame• Address �E�" '� ��'S�w �
Phone Number��� ��r C"� S p� 2'�� �' l 1
Signature_� ,�r� Wit»ess Signature ^
OLD MECER# �� L�-4� �� �S
OLD READI11iG __ �✓ 1r � ` ���
NE1lY METER# �����o��
NEW READiNG�
ERT# � � � � � � ` 3
.
FRIDLEY C{TY CODE
CHAFTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiNISTRATIO'N
(Ref Ord No 113,464,565,566,629,63,8,662,922,988,I144,1156,1191j
40ZS PERMi7 FEE
Prior to constructing or repair of any wa�er of sewer line connecting the existing muniapaf system and arry house or bu7ding for whic.h the
appf➢cation is made,the owner or cvsrb actor shalf be required to abtain a permit far such rnnnection,and sfiall pay a permii fee as provided irr
Chapter 11 of this Code. After such coanection has�en made,the Water a�d Sewer Department shal!be rtotified. tt shaii be untawfvl to cover
any connecting line urrtii an inspection has been made and such connection and the work inaderrt thereto has been approvect by the City as a
proper and suitabte connection.
402.05 REPAIRS AND MAINTEWANCE TO CQNt1fECTIQRu
After the initial coRnection has been made to the water service curb stvp hox or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the appiicarit,owner,or accupant or user af such premi�s shati be fiabie for alf repairs
require�d to any water fine and sewer lines necessary#or connection of the premises from the main to the premises. tf the properiy orrner
requests maiatenance service or repairs be perFormed by the City,the property owner shafl be charged for the costs af the maim�narwe and/or
repairs,including aecessary yrtreet repairs at a rate set annualiy by an administratfve pol'�cy. It shall be the responsibifity of the apprcarit,
awner,occupant or user to perfarm standard mairrtenance of the sewer service iine from the premises to the main including ckb�is dearing or
root cutting and to mai�tain the water service curb stop box for operabilyty and at such height as wiil ensure that it remairis above the tinished
grade af the land or propecty, (lief'638,1156,1191)