Meter Swap �
Request Number: 15466
Public Works Division
SeYvice Request
Problem Address: 21 7Uth Way Requested By: Mickey Aw�a
Department: WATER Address: No a�ess provided
Problemllssue: INSTALL AMR METER Phone Nwnber: 612-618-3035
ScheduledDAtJ� 2d17-OS-23 �` Schedeled'ilme: 11:30:00
f , �e
ACIION NEEDED:
CreAted by: Wendy Hiatt Dxte Cre�ted: 2U17-OS-19
ACTION TAKEN: ���
_.�_�.�'���.v.`^'`..�..........._....�..__._. _�...__. .�..____.__ ...._._.
�> __.._...___......_..__.___......._.._.._.. ___.__._.._...�.. .__._..�.. ______�.______._
Statna: In Progress ���er Hac Been r
Cont�ted
Date Compieted: Completed by:
�"-23���1 � �`�
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, � City of Fridley �V � — � ���� `~�
Water Departrnent
643I University Avenue NE �� � ' l ij�
Fridley,MN 55432 �t
763-572-3566
��we fiereby authorize the City of Fridtey andjor its empfoyees to do what is necessary ta
repiace the water meter. 1 understand that the property owner is iiable for the water line from the main to the premise and alf i+rterior
piumbing. (Per City code 402.06j I also hold the City of Fridley andJits employees harmless for any damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,walts,floors or the curb stop box and service line. tn understand 1 am also required
to obtain a permit prior to any worbc,if necessary.
FtNAI METER READING(oid meter) 22�---�� �C�
Name: �� � ��_ Address �
Phone Number �� � �"�' ����Date ���C����
Signature � 1"—"--" Witness Signature
OLD METER# 1~✓�-� � �v �� c ,,_
q2 ...._--`-� �j�1� �tl�� � ` ��� � �C �'S�.
OLD READrNG ���� I CJ / " `
NEW METER# ���`�� ��
NEW READING_�J
ERT# � � ��� ���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATlON
(Ref Ord No 113,464,565,566,G29,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and arry house or buitding for which the
application is made,the owner or contrador sha{I be required to obtain a permit for such connection,and shaU pay a permit fee as provided in
Chapter il of this Code. After such connedion has been made,the Water and Sewer Departmerrt shai!be notified. It shall be unlawful to cover
any connecting line until an i�spection has been made and sucfi connection and the worlc incident thereto has been approved by the City as a
pmper and suitable connection.
402.06 REPAIRS AiVD MAtAfTEP1ANCE TO COPHYECTION
After the initial connection has 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 propecty line for connection,the applicant,owner,or occuparrt or user of such premises shali be liaWe for ail repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests mainte�ance service or repairs be performed by the Ciiy,the property owner shall be charged for the costs of the mairrtenanc�and/or
repairs,including necessary street repairs at a rate set annually by an administrative po{icy. R shail be the respor�sibility of the app{icar�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to mairrtain the water secvice airb stop box for operabitity and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j
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