Meter Swap .
, Request Number: 12905
Public works Division
Service Request
Problem Address: 1463 75th Ave Requested Bys David lhomas
Dep�rtment: WA'IER Address: No address provided
Problem/7ssue: INSTALL AMR METER Phone Number: 763-184-6591
ScheduledDate: 2017-01-20 Schedele�llme: t1:30:00
�� f
ACTION NEEDED:
Crented by: We�ly Hiatt Dite Created: 201?-01-17
ACTION TAI�N•
�—..-
� � `�
Stat�: In Progress 5nbmitter Hns Been r,
Co�scted
Date Compteted: Completed by:
i � `Lc�� ti� �
��
� �,:
Lo�oT rr�aoey
Watea-Department
6431 Universityr Avenue P1E � ��vl
, Fridtey,MN 55432 ���������� �`
,
� 763-572-3566 � � �, � ��
t/we hereby authorize the City of F�idiey and/or its empfoyees to do what is necessary to
replace the water meter. !understand that the property owner is liable for the water line from the main to the premise and all interior
ptumb+ng. (Per CFty code 402.06j i afso hold che C�y of Pridley andJits employees harmless for any damages that may occur while doing this
operation. This to include,but not limi#ed to valves,piping,walis,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any wortc,if necessary.
FINAL METER READtNG(old meter) � —1(/� ` ��
Name: v C/ Address I�,�J��� /`�(V�
Phone Number��J� /� ` J 1 p� �' L�`� `
Signature � Witness S�nature �
OLD METER#�� 1 ( ( 2- -1 �
OLD READlNG 1 -! DS � 3�
NEW METER# �� 1 (J� G� !
NEW READING �/
ERT# 10 � � �Z �
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line tonnecting the exisCing municipal system and arry hause or building for whicfi the
application is made,the owner or corrtrador 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 Departmetrt s1�aN be notiffed. It shali be uniawful to cover
any connecting line until an inspedion has been made and such connection and the worlc inaderrt thereto 6es beea aqproved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property Itne or a water service iead has
been extended to the property line for connedion,the applicarrt,owner,or accupant or user of such premises shail be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. !f the property owner
requests mairrtenance ser+rice or repairs be performed by the City,#he property owner shail be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrative poliry. R shail be the responsi6il'rty of the applicarK,
owner,occuparn or user to perform standard maintenance of the sewer senrice line from the premises to the main including debris deariog 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�