Meter Swap , ' Request Number: 15581
Public Works Division
Service Request
Probiem Address: 125 76th Way Requested By: Gail Bartlett
Dep�rtment: WA'IER Address: No address provi�d
Problero/Issue: INSTALL AMR METER Phone Number: 1-320-260-9012
Scheduled Dxte: 2017-06-01 Schednled 15me: 07:00:00
' � (�.Q s� Q
ACTION NEEDED:
Created l�y: Wendy Hiatt llnte Crented: 2017-OS-26
AC'IION TAI�N:
� ���y�� 2-
�
_.........__._._._._....._..................._....................___�.�..................................._.....___._..._............_............_..._....._._...................._..........._........................_.__. ..........._..._.__..._._..._.__._�__
Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: �_( _ � � Completed by: ����
;�-
�y� �
�,
: .�'��
�City of Fridley ��/) � � 3�j Q ��(�
, ` Water Department T
6431 University Avenue NE �J�� (lZO�
Fridiey,MN 55432 v �
763-572-3566
��We hereby authorize the C�ty of Fridtey and/or its empioyees 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 iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridtey and/its employees harmless for any damages that rriay occur while doing this
operation. This to incfude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In untferstand i am also required
to abtain a permit prio�to any work,if necessary.
P AL MtETER READNYG(old meter) � ��/ � v��
`���,Qn,�► f �j� --7
Nam •�O�dJt ��Y'�7''�."1�I, Address ��� [ �k� �..���5
Phone Number �` J�^ o'� U'� U�� L-�G � � ^— C
' nature '"�
Witness Signature
OLD METER#_ ��� l��� ��
OLD READING ���✓ ��
NEW METER# l _I�Co��Q l �f�,
NEW READtNG �
ERT#_ ���v'�. ` � ��
FRfDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,i144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water af sewer iine wnnecting the existing municipal system and any house or building for which the
appi�cation is made,the owner or cor�trado�shall be rec{u'sred to obtain a permit for such connection,and sha(1 pay a permit fee as provided in
Chapter 11 of this Code. After such connectQon has been made,the Water and Sewer Departmerrt shail be notifiied. It shali be unlawful to cover
any connecting line until an inspection has heen made and such connection and the wortc incident thereto has been approved by the City as a
proper and witable connectiort.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice 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 appticarrt,owner,or occupant or user of such premises shall be Ifable for ail repairs
required to any water line and searer lines necessary#or connection af the premises firom the main to the premises. tf the property oovner
requests maintenance service or repairs be performed by tfie C'rty,the property owner shail be charged for the costs of the maiMenartce and/or
repairs,including necessary street repairs at a rate set annuaity by an administrative policy. it sfiall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of tfie sewer senrice tine trom the premises to the main including debris cfearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)