Meter Swap -
� Request Number: 15313
Public Works Division
Service Request
Problem Address: 136?1 st Way Requested By: Donna Sato
Department: WA'lER AwMress: No a�ress pcatidcd
Probi�m/Issu�: INSTALL AMR METER Phone Number: S 71-8703
Scheduled Date: 2017-OS-17 Schedu�ed 1lme: 10:00:00
'�` C���
AC'ITON NEEDEI?:
Created by: Wettdy Fiiett Dste Cra�ad: 201?-OS-12
AC'IIOl�i TAI�N: �
.���� C(
_
5tatus: 1n Progress �bmitter Has Been �..
Co�acted
Ds�te Comydeted: � '�_ '� Campleted by: ` ��
r JC�.
.�.
.� �
. � d3 - s� 1 �7� - a �
�
Cifiy of Fridley �� � 1,�7j CJ J
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�l�++e hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from tfie main to the premise and ali ir�terior
plumbing. (Per City cade 402.06) 1 aiso hoid the City af Pridtey andjits employees harmless for any damages that may a�cur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop bax and service line. In undersWnd 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter} � I ��`�`r
Name:�(S Y11/1,� ��W Address��� � 1 s� �J►.�Q�,t
Phone Number� 1 � �" ���� Date �' �� ` ( �
Signature Witness Signature
OLD METER# ����� � J�
OLD READING � l� ���
NEW METER# ����� ✓��
NEW READING O
ERT# C � fC7� �� � v
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 ot any water of sewer line connecting the existing municipal system and any house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a p�rmit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shati be not�ed. It shall be unlewful to cover
any connecting tine urrtil an inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable connedio�.
402.06 REPAIRS AIVD MAlNTENANCE TO CONNECTlON
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 senrice lead has
been extended to the property li�e for connection,the appiicant,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water fine and sewer{ines necessary for connection of the premises from the main to the premises, ff the properly owntr
requests maintenance service or repairs be performed by the City,the property owner shali be charged for tfie wsts of the maiMenance andJor
repairs,incfudi�g necessary street repairs at a rate set annuaily by an administrative policy. It shall be the respansibility of the applipM,
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 maintain the water service curb stop box for operability and at such height as will ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191�