Meter Swap + ~ Request Number: 13048
Pubtic Works Division
Service Request
ProMem Address: 1545 73rd A�e Requested By: Claire-Property Maoager
Departmeut: WA1ER Addreas: No address provided
Problem/Issne: INSTALL AMR METER Phone Number: 952-960-0930
Sc6ednled te: 2017-01-26 Sc6edaled'Iimes 07:00:00
�
ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-01 24
AG7ION TAi�N:
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Stat�s: Tn Progress Submitter Has Been r,
Coutacted
Date Completed: 1 „ �� �- �� Com�eted by: ���
�rc,/or rr�aoey
Water�epartment �� � "� I 1 ,� �
6431 University a4venue P1E , '�� � �f
t � Fridley, MN 55432 ���� /
763-572-3566 �cJ 3 �5���
�SWe hereby authorize the City of FrKlley andJor its empfoyees to do avhat is necessary to
replace#he water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and ail iMerior
piumbing. {Per Crty code 402.06) I also hold the C'rty of Fridley and/its employees harmless for eny damages that may occur while doing this
operation. This to include,but not lim�#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 wor�c,if necessary.
FINAL METER READING{old meter) � �1 `� "'� �
Name: L./�'"`',� � Address �`�� f J �t1'�
Phone Number ���� 1,�-P�+'—� �'` Date___��� v �� ��
Signature Witness Signature '�'
OLD METER# �� lJ� �� � �' w-� � �`3���0� '�`- ����, ��J
-�j p� I� � �� �o�.�
OLD READING t ✓ �,,)l.t G
NEW METER#_���1 ��✓ I�
NEW READING �
ERT# lJ�'�� � � � �v
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,635,662,922,9$8,1144,1156,1191)
402.5 PERMtT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and arry house or building for which the
application is made,the owner or corrtractor shafl be required to obtain a permit for such connection,and shalt pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. it shail be unlawful to wver
any connecting line untii an inspectio�has been made and such connection and the worbc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS APID MAINTENAMCE TO CONNECTION
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 service Iead has
been extended to the property line for connection,the appiicant,owner,or atcupant or user of such premises shalt be lial�e for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance senrice or repairs be performed by the City,ihe properly owner shall be charged for the wsts of the maimenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applipnt,
awner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the mai�including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1155,1191)