Meter Swap Request Number: 12757
Public Works Division
Service Request
Problem Address: 1591 73 1/2 Ave Requested By: Norma Hot��-Iaco�
Departme�: WA1ER Address: No ad�ess provided
Problem/LsBe�: INSTALL AMR METER P�one Nnmber: 763-780-6016
SchedWed Date: 2017-01-12 Sel�dele�Tlme: 11:30:00
`�e,� 1
ACIION NEEDED:
Created by: We�y Hiatt Date Cre�ed: 2017-01-06
ACTiON TAI�N:
-..._.__1_._�s--�-�1.1�.�._ . I
��s: Tn Progress ���er Ha�Been �
Contacted
D�te Completed: Completed by:
1 �- CZ �- � � -
�oty or rr�aoey
Water Department I q� ��
6431 University Avenue NE S � �
" Fridley,MN 55432 �
� 763-572-3566 � �.���v�a-�'�'—��
!/we hereby authorize the City of Frrdiey and/or its employees to do what is nece�ary to
repiace the wafier meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06j 1 also hold the City ot Fridley and�ts employees harml�ss for any damages that may occur while doing this
operation. This to inciude,but not limited to aalves,piping,wails,floors or the curb stop box and service tine. In understand 1 am also required
to obtain a permit prior to any wortc,if necessary.
FtiYAL ME'fER READNYG(otd met r) �L7 ' � � � `�
Name: 1`��� �(G������Rddr�"ss , J � '/2. �
Phone Nu� .i''�J�✓ � � �,� p� ' � 1�' � ��
Signature ��r � � Witness Signature
� �',;
�
OLD METER# �S � '1 1O�S
OLD READING 5��"�� ��
NEW METER# ���r��J� I '�l
NEW READING �
ERT# {O L� � � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing munidpai system and arry house or building for which the
application is made,the owner or contractor shall 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 shall be nctitied. It shatl be un(a�wful to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the C�ty as a
proper and suitable wnnection.
4Q2.06 REPAlRS AWD MAtiY'f�iYANCE TO CONNECTION
After the in'rtial connection has been made to the water service curb stop box or the sewer lead at the property line a�a water sen�ic�e lead has
been extended to the property line for connedion,the applicarrt,owner,or accupant or user of such premises shall be liabie for ail repafrs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property ovrner
reyuests maintenance service or repairs be perFormed by the Crty,the property owner shali be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. k shatl be ti�e responsibility of the applicant,
owner,occupar�t or user to perform standard mairitenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remai�u above the flnished
grade of#he land or property. (Ref 638,1156,1191j