Meter Swap � Request Number: 15429
Public works Division
Service Request
Problem Address: 141 71st Way Requested By: Patrick
Department: WA1ER Address: No ad�dress provided
ProblemJlssue: INSTALL AMK METER Phone Number: 571-1737
Scheduled Date: 2017-OS-23 SchedaleA 1lme: 08:30:Of!
Y'� (1���
u
ACITON NEEDED:
Created by: Wendy�Iiatt Datc Cre�ed: 2017-0�-18
ACTION T �� j , �
.._�...�.�_ ...._.__ {� �� _.�..
Status: In Progress ���cr Hae Been r
Cuutactcd
Date Compieted: Compteted by:
,.�- 23- 1-� -��y��-
- City of Fridiey
�3 -� ��j�� �� �
Water Department � ��
6431 University Avenue NE �� ��
Fridley,MN 55432
763-572-3566
�r`"�e hereby authorize the City of Fridley and/or its empioyees to do what is netessary to
replace the water meter. I understaad that the property owner is iiabie for the water line from tfie main to the premtse and all imerior
plumbing. (Per City code 4Q2.06j 1 also hold the Ciry of Fridiey a�d/its employees harmless for any damages that may occur wfiile doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand 1 am atso required
to obtain a permit prior to any work,ff necessary.
FINAL METER READIMG{old meter} ������
Name• ��I�� Address � 1 1 � � � i�""' —�
Phone NumBer�� 1,� ����� Date ti � V� �
Signature --� Witness Signafi,�re
OLDMETER#_���� r V 6V
OLD READING <J �_1, �1 V
NEW MfTER# _�"! ������
NEW RfADiNG �
fRT# `����� i�7�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANfTARY SEWER
ADMiNiSTRATIt?N
(Ref Ord No 113,464,565,566,629,638,662,922,988,11a4,1156,1191}
4�2.5 PERMIT FEE
Priar to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiWing for which the
application is made,the owner or corrtractor shali be required to olstain a permit for such connection,and shall pay a permit fee as provided in
Chapter il 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 line until an inspection has been made and such connection and the work incident thereto(ws been approved by the City as a
proper and suitable connection.
402.06 REPAlRS AND MAINTENANCE TO CONNECTIOl�!
After the initial connection has been made to the water service curb stop boK or the sewer lead at the property line or a water service{ead has
been extended to the property Gne for connection,the appiicant,owner,or occuparrt or user of such premises shall be IiaWe for al{repairs
required to any water line and sewer fines necessary fior connection of the premises from the main to the premises. {f the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the c�ts aF the maintenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrative policy. It shal!be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the flnished
grade ofi the land or property. (Refi 638,1156,1191)