Meter Swap ` Request Number: 12689
Public works Division
Service Request
Problem Address: 315 76th A� Requested By: Tom Lovaas
Department: WATER Addreaa: No ad�eas provided
Problem/Issue: INSTALL AMR METER Pho�Nnmi�r: 763-670-6665
Schedaled Date: 2016-12-30 Schedaled 11me:
ACTiON NEEDED:
Created by: Wendy Hi�t Date Created: 2017-01-03
ACT'ION TAI�N:
Old meter#89487150 Old rea�ding: 1641620 New meter#4711 Sfi47 ERT#68880360
Status: Completed ���lr H�H�ea �.,
Contscted
Date Completed: 2016-12-30 Completed by: Peter C'i�raon
Hours
���_ 5o3�3�v�"���
. City of Fridley
, Water Department �'L,
6431 University Avenue NE , , / ,
Fridley, MN 55432 .� `� � a�
763-572-3566 ��
/
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repface the water meter. 1 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 Fridley andjits employees harmless for any damages that may occur while doing this
operetion. This to include,but not limited to valves,piping,walls,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 READING old meter � � � ��
� )
e,-�•
Name:�� GtiC.� Address_��,,'� ��T��V(? !J C_ S'�: Q��v Mnl S 5�'�
Phone Number���i- ��a -Cn��ls� Date � + �'
Signature���-_�� Witness Signature
OLD METER# ` t �
OLD READING ����h�V �
NEW METER# �� �I iJ1p"'i�
NEW READING �
_�
ERT# � � J
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}
40Z.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line wnnecting the existing municipal system and any house or bullding for which the
application is made,the owner or contrador shafl be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to wver
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the wate�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 occupant or user of such premises shal{be liable for a{{repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the properly owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility of the applipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the mai�including deb�is dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiN emure that it remains above the fPnished
�rade of the land or property. (Ref 638,3156,1191)