Meter Swap �-
' Request Number: 15734
Public Works Division
Service Request
Problem Address: 124 71 1 t2 Way Requested By: Gary Engelb�echt
Department: WATER Address: No a�iress psovickd
Problem/Issue: INSTALL AMR METER Phone Nwnber: 783-572-0379
Scheduled Date: 201?-0 -06 Sc6ednled Time: 07:30:00
� t
ACITON NEEDED:
Created by: Beth Kandrick Date Created: 201'7-06-02
ACTION TAI�N:
�����, �l�e� � �----. ,
�"r�'�- ...... .. __.............._.._..._.._...�.._...�._..�.�.
Status: In Progress Snbmftter Has Been r.
Contacted
Date Completed: � ,,,,� /' „ ` I� Completed by: ��`'� �
�r(� �;,
�
:�..'
, �.
� k
City�f Frddiey ��"��-��O O�)���.
, Water f�epart�raeat#
6431 l�niversity Avenue NE S� u�33
� Fridl�y, MN 55432
7C3-572-3566
rJ"ve hereb�/authorize the City af Fridtey andjor its emptoyees to do what is necessary to
re�lace Che water meter. 1 understand that the pro�erty awner is tiabte for the aera#er line from the main to#he premise and ali irrterior
plumbing. {per Ci#y code�02.06j 1 atso hold the Crty of Fridiey and/its empioyees harm{ess for any damages that may occus while doing this
operation. This to inctude,but nat fimited to vatves,piping,walis,floors oc the curfs stop 5nx and service line. In unden�tand!am aiso requir�
to obtain a permit prior to any worh,'s#necessary.
�-3�I ����
Ft1VAl METER READtAtG{oid meter)
wame: l�f(J��`�/ �VL�C-��Address ��� � l 11�- (J►�0.1�/
Pffone 9Yumber ` ��' � Jp(� V3 I 1 Date � � `x V [ �
✓��'�,ature Witness Signature ,
Ol.D METER#__.
V� �� � �'� r.;,
OLD READING � �� �"" I�v
NEW METER# �� I v`� � U �
NEMI READ(i1fG v
E�-# � � 3� 5 t� ��
FRIDLEY CITt CODE
CHAE�TER 4A2.WATER,SCORM WATER AND SANlTARY SEWER
ADMINISTRATf ON �
{Re#Orsl No 113,4f:4,565,5G6,629,638,662,922,988,i144,I1S6,1191)
402.5 PERMiT FEE
Prior to constructing ar repair of any water o�f sewer line conaecting the exisCing municipal system and any house ar buiiding for which�e
application is made,the owner vr contractor sfiail be required to obtain a permit for such cons�ection,and sha[t pay a permit f8e as providect in
Chapter 11 af this Code. After such connection Fsas been made,the Water and Sewer Departmerrt shali be rtotifiied, it shalf he untawful to cover
any connetCing line untif en inspection has been made and such connection and fihe woric incident thereto has been appnvved by the Criy as a
proper and suita6(e cannection.
4Q2.06 REPAIR5 ANO MAINTENAOUCE TO COWP{ECT10111
After the initiat cannection has been made to the water sQrvice curb stap box or the sewer lead at the property line or a water seroi�lead has
been extended to the property tine for connection,the applicant,owner,or occupant of user of such premises shall be tiabie fr�r atl repairs
required ta any water line and sewer tines necsssary for connection of tfie premises from the main io the prsmises. tf the property owner
requests maintenance senrice or repairs be gerformed by the City,the property owner shaii be charged for the casts of the mairrtenartce and/or
repairs,inciuding necessary street repairs at a rate set annuafty by an administrative poliry. ft shall be the responsibility af the applicartt,
owner,occupant or user to perform standard mairrtena�ce of the sewer service line from the premises tu the main iaciuding debris dea�ing or
root�utCing and xo ma+ntain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains above the finished
grade af tFte iand or property. {Ref 63g�1156,1191j
t