Meter Swap ` Request Number: 15386
c
Public Works Division
Service Request
Problem Address: 114 71 st Way Requested By: Nancy
Department: WA'IER Address: No address}xovi�d
ProMem/Issue: INSTALL AMR METER Phone Number: 574-1428
Schednled at • 2017-OS-17 � Scheduledltme: 01:30:00
t
,
ACTION NEEDED:
Created by: Wendy Hiatt Date Cre�ted: 2017-OS-16
ACIION TAI�N:
,�-Y`-5�-�.��4?� ��..`�-----
Status: In Progress Sabmitter Haa Been �..
Contacted
D�te Completed: �� � _ �� Completed by: ��`, � �
Yr :;
'��
'�< '
` City of Fridley
�� 3 - �aj8�� ���
� Water Department �� � , /���
6431 University Avenue NE tf
Fridley,MN 55432
763-572-3566
j�We hereby authorize the City of Fridiey and/or its empioyees 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 a{t iriterio�
ptumbing. (Per City code 402.06) 1 aiso hold the Gty of Fridley and/its employees harmfess for arry damages that may ocwr while doing this
operation. This to include,but not limited to vabes,piping,walts,floors or the curb stop box and service line. In understa�d i am also requirved
to obtain a permit prior to any work,if necessary.
FfP1AL METER READING(afd meter) � � �✓ " "
Name: 1���� Address �� 1 �� �} �'�)
Phone Number ��� p�e >�" �� " t�
...�s
Signature Witness Signature
OLD METER# fN 4 � ����� -
OLD READtNG � ` �JQ�
NEW METfR# � � O`�✓���"�
NEW READING "
ERT# ` � �t7`� ����
FRtDLEY CI7Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRAT{ON
(Ref Ord Mo 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Priar to canstructing or repair of any water of sewer line connecting the existing munidpat system and any house o�buitdir�for which the
application is made,the owner or corrtrackor shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmertt shall be notified. It shail be unlawFul to cover
any connecting line until an inspection has been made and such connection and the woric incident thereto has been appro�red by the Ctty as a
proper and suitable conn¢ction.
402.06 REPAIRS AND MAINTENANCE TO COWNECTfON
After the initial connection has been made to the water sQrvice curb stop box or the sewer lead at the properly flne or a water se�iead has
tteen extended to tfie property line for connection,the applicarit,owner,or occupant or user of such premises shall I�e liable for all repairs
required to any water tine and sewer lines necessary for ca�nection aF the premises from the main to the p�emises. If the�raperty owner
requests mair�tenance service or repairs be performed by the City,the property owner shaii be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an adm'snistrative policy. It shall be tfie responsibiiity of the applicant,
owner,occupant o�user to perform sCandard mai�rtenance of the sewer senrice line from the premises to the main including d+ebris clearing or
root cutting and to maintain the water service curb stop baz far operabifity and at such height as wiil ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)