Meter Swap }
� Request Number: 12899
Public Works Division
Service Request
,��.—.___^ �.__—___���-- ---- -- -
Problem Address: 1490 76th Ave Requested By: Kaihy
Depxrtment: WATER Address: No sddress provided
Pro�e�/Issue: INSTALL AlVtlt METER Phone Number: 763-258-6187
Sc�ednled Date: 2017-03-09 � Schednle�l 11me: 08:3U:00
�r $'� -
� ACITOM NEEDED:
Created by: Wcndy Hiatt Dats Createa: 2017-01-17 '`'�"
,
ACI�UN?Ai+�N: `�:�
__���.5� ��G�
_. ___.....��.
,� __.___._._....._.___.____ . _.___.__ � ._ ____ _ .
�.
status: In Progress snbmitter Has Been r
Contacted
Date Compl�ted: 3-�q— �,� Completed by: t t
Honrs �-J�.1L�
� �o�/or rr�aoey
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432 �J 3 ,��,�,_d�
„ ' � 763-572-3566
�(�=`� `3 L 1�
1/we hereby authorize the City afi Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. {Per City code 402.06) i also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not iirnited to valves,pipin�walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any worEc,if necessary.
FINAL METER READING(old meter) �`��� V
Name:_ ��y Address M l�" �v� �"f.
v
Phone Number ��� � �� �1 � v� ( p� � ! L � � (
Signature Witness Signature ~�
o�oM��R#_� 7��a�� ��
OLD READti11G ��O� � ��
NEW METER# L� � v ��W ��
NEW READING �
ERT#_� I 1� { J7 g
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and arry house or buiiding for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided irr
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmer�t shal!be notPRed. tt shail be unlawfu!to cover
any connecting line until an inspection has been made and such connection and the work incideM thereto has beeo approved by the City as a
proper and suitable connection.
402.06 REPAiRS AND MAINTENANCE TO CONNECTION
After tt�e inifial rnnnection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead f�as
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premise�s shall be tiaWe fw�all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property ewner
requests mairrtenance service or repain be performed by the City,the property owner shall be charged for the costs of the maintenarue andJor
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupa�rt or user to perform standard mair�tenance of the sewer service line from the premises to the main includi�debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains aborre the finished
grede of the land o�property. {Ref 638,1156,1191)