Meter Swap 1 �
�� . Request Number: 12624
PU�1C WOPkS DIVISIOD
Service Reqaest
Problem Addreas: 7574 4th St Requested By: Heather
Department: WATER Addre�a: No ad�ess provided
Problemllaaue: INSTALL AMR METER Pho�Number: 763-574-?2S�or 612-812-4218
Sche�uled Date: 016-12- � 5c6edwlc�1lme: 10:30:00
.� (�,J 1
ACIION NEEDED:
Cre�ted by: Wendy Hiatt D�e Cn�tsd: 2816-12-29
AC'iION TAI�N:
1 �J ~ v'X�.�
Shtua: In Progcess Submitter Hn�Beea r
Co�t�ctcd
Dste Completed: Completed by:
�a_�� l�
City of Fridley
Water Department C ��
6431 University Avenue NE `.7��,�- —J����V
. � Fridley,MN 55432
763-572-3566 �� � �� I
�/M+e hereby authorize the City of fridley andjor its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the wrater line from the main to the premise and all i�erior
plumbing. (Per City code 402.06) {afso hotd the City 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,walis,floors or the curb stop box and service line. In uaderstand!am also required
to obtain a permit psior to any work,ff necessary.
fIWAL METER RfADIN6(old meterJ � � ��� ��
Name:_ti�� Address �5 /� ""' �!��(
Phone Number ��%�" .1�'���� Date � �J� _ (�
Signature �tness Signature
OLD METER# � � tJ � i ���
OLD READING_ � S�.✓� � �V
NEW METER# � 6 � 1 1.J�0�
NEW READING �
E�# �S�`� 0�3�
F�io«r cinr couE
CHAPTER 4Q2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATiON
(Ref Ord No 113.464,565,566,629,638,562,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair af any water of sewer 1[ae wnnecting the existing municipai system and aay house o�building for wfiich the
apptication is made,the owner or cor�tractor shall be required to obtain a permit for such rnnnection,and shalt pay a permit fee as provided in�
Chapter 11 of this Code. After such con�ection has been made,tfie Water and Sewer Departmerrt shall be notiEied. it shaN be unlawful to cover
any connecting line until an inspection has been made and such connection and the woe�lc incWent thereto has been approved by the Cily�a
proper and suRable connection.
402.06 REPAIRS AND MAINTfNANCE TO CONNEtT10N
After the initial connection has been made ta the water servise curb stop box or the sewer lead at the proqerty line or a water senrice lead has
besn extended to the property line for connection,the appiicarn,owner,or accupant or user of such premises shal{be IiaWe for afl repain
required to arry water line and sewer tines necessary for connecCion of the premises frem the main to the premises. ff the property�rner
requests maintenance service o�repairs be performed by the City,the property owne�shall be charged for ttre costs aF the maintenance and/�
repairs,inciuding�ecessary street repairs at a rate set annuaily by an administrative poliry. it shall be the responsibility of the applicarit,
owner,occupant or user to perform standard maiMenance of the sewer service line from tfie premises to the main including debris dearing or
root cutting and to maintain the water service curb stop boK for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Re�f 638,1156,1191�