Meter Swap Request Number: 12823
Public Works Division
Service Request
Problem Address: 1640 75th Ave Requested By: Matt Huber
Departme�t: WATER Addresa; No address pcovided
Problem/lasue: IlVSTALL AMR METER P6one Number: 612-386-0T08
ScLedul d e: 2017-01- 3 Sc6ednled 1lme: 07:30:00
. � ��
ACIION NEEDED:
G'reAtedhy: WeidyHiatt DateCre�ed: 2017-01-11
AC'IION TAKCN:
- .�,��..�1�.� ��.�'�,fZ-- ,
5t��: In Progess Submitter H�Been t.,
Contacted
Date Completed: '�.— �'� l� Completed by: � �__..___._.._.... _
��' 'Y� �'`'� �...----'
f� r%�%�'���._
�-,
`..
� City of Fridley ,�� �
, 1Mater Depaetment �O �, � J
5431 University Avenue NE
Fridley, MN 55432 �_5�-,�� ..�j'�
763-572-3566 ���
�/We fiereby authorize tfie City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that tfie property owner is liable for the water line from the main to the premise and ail interior
ptumbing. (Per City code 402.06) I also hoid the City of Fridley andJits employees harmless for any damages that may ocair while doing this
operation. This to include,but not limited 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 work,if necessary.
FINAL METER REAOING(oid meterJ �,I l�4� �� �
Name• �� �'�-�v�^�r �`-� �V `� ��
Address �
Phone Number "' � —� �vDate �r l�~ 1�
ignature " Witness Stgnature �-
OLD METER# l � � � �� /
OLD READING � v�� �-[ a
NEW METER# � �1��� �
NEW READING l�
ERT#� ��� �`� �
FRfDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing er repair of any water of sewer iine connecting the existing municipal system and any house or building for which the
application is made,the owner or cor�tractor shall ise required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shail be unlawful to cover
any connecting Ifne until an inspection has been made and such connedion and the worlc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEWANCE TO COWIYECTION
After the initia{connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the properly owner
requests maintenance serv(ce or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance andJor
repairs,including necessary street repairs at a rate set annuaNy by an administrative poliry. It shali be tfie responsibil'�ty o�f the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris dearing or
root cutting and to mainta'sn the water service curb stop box for operability and at such height as wili ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)