Meter Swap .
Request Number: 14816
Public Works Division
Service Request
Problem Address: 5417 W Brenner Pass Requested By: Andrea Andrajack
Departme�: WA1ER Addresa: No address provided
ProblemlTssue: INSTALL AMR METER Phone Number: 763-442-4706
SchedWed Date: 2017-OS-02 d Schednled 1ime: 10:00:00
J'� ,
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04 20
; :��,�
ACTION TAI�N:
� �-v�.,� I�(�
Status: In Progress Submitter Has Been r
Co�acted
Date Completed: �� �,� �-7 Completedby�
� ��
.
.
,�� -- 4°��5��' � D
City of Fridfey �� � 7���
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is neassary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
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 include,but not limited to valves�piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READiNG old meter � " ' ��
( )
Name•�� �'i�,llJl N,IU,� Address � i� 1 � ° ����11�� �,��5
. J
Phone Number ��'�� � `Z � (� (�D Date � �`� � 1
__,�..
Signature Witness Signature
OLD METER#
��3 3 �Z�� 7 �� �q 63o k � on �� l�-
OLD READING G I ! � /�
NEW METER# 4 I�"�/ �`���
NEW READfNG v
ERT# �� �� �✓ �/ (
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER AND SANITARY SEWER
ADMINISTRATION
(Ref�rd 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 connecting the existing municipai system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting fine uritil an inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAlNTENANCE TO CONNECT{ON
Aftet the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be liable for a!1 repairs
required to any water line and sewer lines necessary for connection of the p�emises from the main ta the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualfy by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remaies above the finished
grade of the fand or property. (Ref 638,1156,1191)