Meter Swap , '" � Request Number: 12749
Pablic works Division
Ia �°-� Service Request
�.�
Problem Address: -��Cs�13rd Ave Requcsted By: James Patton
Departmeat: WATER Addresa: No�ess pro�ded
Prol�em/Isa�: INSTALL AMR METER Phone Number: �63-786-6881
Sehednled Date• 2017-01- 1 � Sc6eduled 1lme: 02:00:00
ACIION NEEDED:
CreaEed by: Wendy Hi�t Drte G�eated: 2017-01-03
AC'ITON TAI�N:
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�c
��; ���gS 5nbmitter H�Beea �,
Co�tactcd
Date Completed: Completed by:
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t,li�OT!-5'lQ9ey
1Nater�epartment S(� (� 7���
6431 Universitvf Avenue N�
Fridtey, MN 55432 �C��� '���� � �
• ° 763-572-3566
, ��We hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water(ine from the main to the premise and all iMerior
plumbing. {Per City code 402.06) i alsa hold the C'ity of Fridley and/its employees harmless for any siamages that may otcur while doing this
operation. This to include,but not limi#ed to valves,piping,wails,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any wor4c,if necessary.
FIAIAL 11AE'fER READING(uid meterj � � \L�l./
Name:
Address V�� � ��
Phone Number �� �L1�� � D� � � f � 1 �
Signatu ' Witness Signature
OLD ER#=1 ,t-� `� �� Z-I
OLD READtNG �� 1 t� �� �
NEW METER#�� 1\�c/��
NEW READtNG �
ERT# � ����
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNtSTRATION
(Ref Ord PIO 113,464,565,566,529,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and arry house or buildir�for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided i�
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shall be notified. It shali be unlawful to caover
any connecting line 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 initiat connectioo has been made to the water service wrb stop box or the sewer lead at the propecty tiae or a water servia lead I�as
been extended to the property line for wnnection,the applicarrt,owner,or accupant or user of such premises shali be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrafiive policy. It shall be the responsibility of the appiicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main includir�g debris dearing or
root tutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remairis above the finished
grade of the land or property. (Ref 638,1156,1191�