Meter Swap ,
` Request Number: 15836
Public works Division
Service Request
Problem Address: 121 79th Way Requested By: Gerald Hazris
Department: WA'IER Addresa: No address provided
Problem/Iasue: INSTALL AMR METER Fhone Number: 763-786-3461
SchedWed Date: 2017-06-1 Sehectuled'Rme: 08:30:00
2�` `�.`
AC'�ON NEEDED:
Created by: Beth Kondrick Dat�GreAted: 2017-06-07
ACITON TAKEN:
.....__..._...__.._....._ ..�...G'��._�:.. ...._...._._.___....._.. _...._._.��-_.._...--�._.._
Status: In Progress Snbmitter Has Been r,
Co�acted
DateCompleted: � ,,, '�` I` Completedby: C ���
7 �'
, �City o�Fr6dley �o(�'"'�3 1S�PCJ �V �
Wa��r Depa�tnaer��
� b431�7niversity�Avenue NE � ,1� ��I�
Fr�dl�y,MN 55432 fr
7fi3-572-3566
1/we hereby authorize the Gty ofi�ridley and/or its emp(oyees to do what is necessary to
replace�he water meter. t undecsta�d that the�sro�erty owner is liabfe for the�rater line from the main to the premise and ali iriter6or
plumbing. (Per�Lity code 402.06) I also hold the Cit�of Fridiey and�ts employees harmless for any damages that may ocwr while doing this
operation. This to inctude,but not limited to vatves,piping,walis,floors or the curb stop box and service line. In understand 1 am also requirE
to obtain a permit prior to any worlc,if netessary.
FlNAL METER READ{PIG(old meter) �����a
� Plame: ���l.l� ��IY�U� Address � l � �6�..
Phone Number ���—��O " 3��Q! p� '� .— l�_ �`l
�Signature�,��_�1�����L��La� Witness Signature
/ �
OlD METER# �J�O V(p '"7 I��J2���3
OLD READING �� �v"�-'
NEW METER# � �0� � �1 ��O
NEW READIPIG � "
��# _ `7�3 .�D�'7
FRIDLEY CITY CODE
CFIAPTER 402.WATER,SCORM WATER AND SAPIITARY SEWER
ADMtNtSTRATtON �
(Itef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERAAIT FEE
Prior to�constructing or repair of arry water of sewer line connecting the existing municipai system and arry house or twiiding for which the
application is made,the owner or co�tractor shail be required to vbtain a permit for such connection,and shatl pay a permi#fee as provided in
Chapter 11 of this Code. After such con�ection has been made,the Water and Sewer Departmerrt shati be notified. It shall be unlawfut to cover
any connecting line urrti!an inspection has been made and such connection and the work inciderit thereta has been approved by the Crty as a
groper and suitable connection. •
402.06 REPAIRS AND MAINTENAPICE TO COIMNECTI0IV
After the initiai connection has been made to the water service curb stop box or the sewes tead at the prc>perty line ar a water service iead has
been 2utended to the property line for connection,the app(icarrc,owner,or occupant ar user of wch premises shall be liabte for all repairs
required to any water line and sewer tines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property awaer shatt be charged for the costs af the mairrtenance and/��
repairs,including necessary street repairs at a rate set annually tay an administrative policy. It shal!be the responsibitity of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to mairrtain the nvater service curb stop box for operability and at such height as wiU ensure that it remains above the finisfied
grade af the land or property. (Ref 638,1156,1191j