Meter Swap ,
� Request Number: 16059
Public Works Division
Service Request
Problem Address: 109 76th Way Requested By: Mike
Department: WA'IER Address: No address�ovided
ProblemlIsaue: �ISTAL.L AMR METER Phone Nnmber: 763-574-9684
Scheduled Date: 2017-06-28 Sc6ednled 13me: 02:00:00
� � �
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-19
ACTION T N:
�"�K,� � ���
Status: In Pro�ress Snbmitter Has Been r.
Coutacted
Date Completed: Completed by:
� ' Z�� I�1 -T` Lat--
�
���l �- ����a����
� Ciiy of Fridley ��� ����
+. Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-356�
1/we fiereby authorize the City of Fridley and/or its empioyees to do what is necessary ta
replace the water meter. 1 understand that the property awner is liable for the water line from the main to the premise and ali irrterior
plumbing. (Per City code 402.a6} 1 also hold tbe City of Frid{ey and/its empfoyees harmless for acn/damages that snay occur while doing this
operation. This to include,but not limited to valves,piging,wal(s,floors or the curb stop box and service line. In understard f am also required
to abtain a permit prior to any work,if necessary.
FINAL METER READIAi I I � J � " ��
G(o d meterj
Name: 1" ��I� Address_ �V 1 ���' V �'`^'`1
Phone Number I lc�J^�� 1�'�� ate � � ��� `�
� Signature Witness Signature
.�—
OLD NlETER# � l� 1 � �`� � �
OLD READfWG ����7 ��J
NEW MIETER# "�� �� ���y
N�W READiNG �
ERT#_� �_f� ����
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,114�i,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecCing the existing municipal system and any fiouse or building for which the
application is made,the owner or cantractos shall be required to obtain a permit for such connection,and sfiaU pay a permit fee as provided in
Chapter 11 of fihis Code. After such connection has been made,the Water and Sewer Department shall he not�fied It shaH be unlawful to wver
any connecting{ine until an inspection has been made and such connection and the wor(c incident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTEfVANCE TO COPINECTIQN
After the initial connection has been made to the water senrice curb stop box or the sewer fead at the property line or a water service lead has
been extended to the property line for connection.the applicant,owner,or occuparit or user of such premFses shall be tiabte for a{{repain
required to any water line and sewer lines necessary for conneckion of the premises from the main to the premises. If the�troperty owner
requests maintenance service or repairs be performed by the�ty,the properCy owner shaN be charged for the costs of the mai�tenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It sfiall be the responsibil'ity of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service iine from the premises to the main including debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or praperty. (Ref 638,115fi,1191j