Meter Swap �
, Request Number: 14387
Public works Division
Service Request
Problem Address: 1493 Windemere Circle Requested By: Mr Cocon
Depnrtment: WA'IER Address: No address provided
ProWem/Isaue: INSTALL AMR METER Phone Number: 612-670-2809
Scheduled Dxte: 2017-04-03 Schednled 11me: 11:30:OU
� ,��` �
.�c�oN x�nEn:
Created by: Wendy Hiatt Date Created: 2017-03-29
AG7ION TAI�N:
,v� -�-I , A��
Stxtus: In Pro�ress Snbmitter Has Been r
Cont�ted
Date Compieted: Completed by:
� '3r �-� �' �"�
�
. '�2� � 4�f� ��� � ��
� �o � 33(��
City of Fridley
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 necessary 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 irrterior
plumbing. (Per City code 402.06j I also hold the City of Fridley and/its employees harmless for any damages that may ocau while doi�this
operation. This to include,but not limlted to valves,piping,walls,floors or the curb stop box and senrice line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) '� �� v�4
Name: �� � �W� Address��`�� ��"�"�i� �T
PhoneNumber �� ���� �w � Date `"t"'"�` ��
Signature Witness Signature
OLD METER# ����d� T`" `-�
OLD READING � I Z� � �O
NEW METER# �� � l�� � `�
NEW READING V
ERT# � �ZZ �tO -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 connecting the existing municipal system and arry house or buiidi�for which the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be naNfied. It shall be unlawful to co�rer
any connecting line until an inspection has been made and such connection and the work incident.thereto has been approved by the City�a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property itne or a water service lead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of wch qremises shall be liabk for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maiMenance service or repairs be perFormed by the City,the property owner shall be charged for the wsts of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility o�F the applicant,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service 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)