Meter Swap ,
�
Request Number: 15169
Public Works Division
Service Request
Problem Address: 20 70th Way Requested By: Glen Moren
Department: WATER Address: No address provided
Problem/Isaue: INSTALL AMR METER Phone Number: 5T 1-5371
SchedWed� 2017-OS-09 � Sc6eduledl]me: 07:00:00
�
ACTION NEEDED:
Created by: We�y Hiatt Date Crcxted: 2017-OS-05
ACIION TAI�N:
__...__. ��-��,�_L_ .��1►��- _.__.__
Stxtus: In Progress Snbmitter Hns Been r,
Conttacted
Date Completed: Completed by:
Honrs
s� �',_ G1 � �o�r-
�
� �63 - �����o -� /
' SD-�# �lD �7
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is n�essary to
replace the water meter. I understand that the property owner is liable for the water line from the main tc the premise artd ali iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmiess for arry 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 I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) � _t� ��D
Name: �'�'� ' `a��- Address ✓ ���
Phone Plumber �� �— � J� 1 Date �f�^��
Signature Witness Signature
OLD METER# �� �� ���
OLD READING ��� �`—f�
NEW METER# `��� � �' � �
NEW READING O
ERT# �'`��O� � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STOtiM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line wnnecting the existing municipal 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 shall pay a permit fee as p�ovided 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 li�e untii an inspection has been made and such connection 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 initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a wate�service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be t[able for all repatrs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If th�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 policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)