Meter Swap 1
1 �
- /-�
c;,�,d� aC
Fridley
Request Number: 17369
Public Works Dtvis�n
Service Reqaest
- ----_�13_d___----------_____---------------_
ProWem Address: �.b9th A� Requested By: Teresa or Smna�ha
Departmeut: WATER .4ddress: No addross provided
Problem/L4aue: INSTALL AMR METER Phone Nnmber: 571-0010
Scheduled Date: 2017-12-OS Scheduled'1Time: 12:00:00
AC"ITON NEEDED:Go to 1652 69th Are to get key
Created by: Wendy Hiatt Date Cresited: 2017-12-04
ACTION TAI�N: -. ��
�, '/
.m_.....................�`'_�.............. ��:��._�._��_.....___.__..._..........._........�___z-___._...��r�...._
............... ___._. _._._....__....__._ __............_..........__.___�.___........................_._......_ __..__.
.��
Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
��� �--l � �.a,ti-�-.-
�. , S� -.��
City of Fridley
Water Department '2�� � �'�/3�c' �
6431 University Avenue NE �
Fridley,MN 55432
763-572-3566
f/we 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 aI1lMerior
plumbing. (Per City code 402.06) I also hold 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,floon or the curb stop box and service IYne. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) a l�a� " `-� �
Name:_ 1�����'\ Address � �[/� U �C�� �'�
Phone Number � � l — vV L � Date ` � � ` � � C
Signature Witness Signature
OLD METER# � �v J / v � � SIZE & ST1lLE(Cirdel
OLD READING � � � � 1 �� 5/8" HEX
NEW METER# 4 1 l(� / �V�3 1" HEX
NEW READING v 1�4" LIPTICA or HEX
, �
ERT# ` �� � �� � � 2" ELIPTICAL or HEX
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 construding or repair af arry water of sewer line connecting the existing municipai system and any house or building for wMich the
application is made,the owner or contrador shail be required to obtain a permit for such connection,and shall pey a permit fee as provided in
Chapter ii 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 tine until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection fias been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be(iaWe 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 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 annually by an administrative poliry. It shalt be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is clearing 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)