Meter Swap 1
Request Number: 16530
� — — — — — — -- -r
Public works Division
Service Request
Problem Address: 1640 73 1/2 A� Requested By: Hector Hogan
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-300-5759
Sc6eduled e: 2017-0 -07 � Schednled'lime: 10:00:00
ACTION NEEDED:
Created by: Beth Kondrick Date Cre�ted: 2017-08-01
ACTION TAI�N:
�-�.s�-�, -��r���—= �
��
.�
Status: 1n Progress Sabmitter Has Been r,
Contacted
Date Coe�pleted: �.�.� _ � Completed by: ����
� �
<
�i�Ly��radley �'�' �7j' -� rf'����<._ (��-
VU'a�er�e�artment �� �. �j (�^
fs431 l�niv�rsity Arrenue NE v
Fridley,MIV 55432
763-572-3566
r✓`"�e hereby authorize the City af Fridley and/or its employees to do what is necessary to
rep�ace the water meter. !understand that the property owner is liabte for the water line from the main to the premise and all irne�ior
plarnbing. {Per Crty code 402A6) I aiso hold the C"rty of Fridley and/its employees harmless for arry dama�es that may occur while doing this
operation. This to include,but not limified to valves,pipin�walls,floors or the curb stop box and service line. in understand 1 am also require
to obtain a permit prior to any wortc,if necessary.
FINAL METER READING(old meter � "` � �� �
}
Name: ' 4�L�r Address ���� � ✓ �t� '`'� �- -
Phone Number ����'�U� "' / pa� S ' �,`���
� Signature Witness Signature
O�D MEfER# ���� � ��V
OLD READIMG ( �(G / I � v
NEWMETER# `�� 3�.�S �a
NEW READING O
E�# rZ � `�I �' �3�7
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIPIISTRATION
(Ref Ord No 113,464,565,566, 629,638,662,922,988,1144,1156,1191�
402.5 PERMlT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and arry house or buiiding for which the
application is made,the owner or contractor shafl be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal[be notified. It shatl be unlawful to cove�
ar�y connecting iine until an inspection has been made and such connectivn and the work incident thereto has been approved by the City as a
proper and suitable connection.
4�02.06 REPAIRS AND MAIPITENANCE TO COPfIUECTION
After the initial connection has been rnade to the water service curb stop box or the sewer lead at the property line ar a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occuparrt or user af such premis@s shalt be liable for alf repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be perFormed by the Crty,fihe property oarner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an admi�istrative policy. it shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main i�ctuding debris clearing or
roo#cutting and to maintain the water service curb stop box for operability and afi wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)