Meter Swap � Request Number: 13093
Public works Division
Service Request
Problem Address: 1571 75th A�ne Requested By: Na�y and John Dornfeld
Department: WA'IER Address: 1571 75th A�e
Fridley,MAT 55432
Problem/Issne: INSTALL AMR METER Phone Nwnber: 7d3-792-2203
Sciieduled Date: 2017-01-30 Schednled Time: 01:30:00
1 1 l � 1 �
ACIION NEEDED:
Crented by: Beth Kondrick Date Created: 2017-01-26
ACTTON TAi�N:
�v�.�,�.._�(P.� 1��4s �'`1"`t' L� �� �Z—
Stntus: In Progress �H1�mitter Has Beea �,
Contacted
Date Completedc `�- �j � .� �� Completed by;
✓ .,� A,�-,�.
irVater Department
5431 Universot,r J�venue 6V� �
, . Fridley, MRi 55432 ?j�?�—S�U �l �� �3
• 753-57Z-3556 �'"
1/we �� � ���
hereby autfiorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water s�neter. I understand that the property owner is Iiabte for the water line feom the maiss to the premise and a!{irnerior
p4urrsbing. (Per Ctty code 402.06) i also hold the City of Fridley and�ts employees harmless#or any damages that may occur while doing this
opecation. This to include,but not timited to aalves,piping,walis,floors or the curb stop boz and senrice line. In understand I am also require�
to obtain a permit prior to any Warlc,if necessary.
FlNAL METER READING(otd mefier) � " �O � �V
Name:_�W^Wf `�, ,OS/1.�/�. �O i'h�e�d Address__�� / l �� � t"�'�J"�
Phone Number �� " � 7.." (r D� ��� �r " �
Signature YVitness Signabure ^
OtD METER# `7 .J � � , � (,J�?
OLD READtNG�� � v S G�/
NEW METER# _ r� �V�,3 �V
NEW READHVG b
�R�# � I 8 2 0 � � s'-�`� .
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FRIDLEY CITIf CODE
CHAPTER 402.WATER,STORM WATER AND SAAIiTARY 5EWER
ADMINISTRATICli11
(Ref Ord ilto 113,464,565,566,629,638,662,922,988,1144,i156,T191]
402.5 PER11t1fC FEE
Pr3or to constructing or repair of any water of sewer line connecting the existtng municipa(systern and asry house or buildirig fo�which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and sf�all pay a permttfee as provided in
Chapter 11 of this Code. After such connection has been made,the Waxer and Sewer Departmem shall be noCified. It shall be unlawfui to cover
any connecting line uMit an inspection has been made and such connection and the wor�c inaderrt thereto has been approved by the City as a
proper and suitahle connection.
402.05 REPAIRS AND MAIWTEfYANCE TO COAtNEC170N
After the initiaf connec�tion has been made to the water service curb sCop box or the sewer lead afi the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occuparrt or user of such premises sF�atl be liable for all repairs
required to any water liae and sevaer lines necessary#or connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the C"ity,the property awner sfiall be charged for the tosts af the maintenance and/or
repairs,including�ecessary street repain at a rate set annually by an administrative poliry. It shall he the responsibility o#tfie app4icarrt,
owner,occuparrt or user to perform sCandard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
i