Meter Swap a
s Request Number: 15626
Public works Division
Service Request
Problem Address: 151 79th Way Requested By: Janet Chisholm
Departreent: WATER Address; No ac�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-780-1126
Scheduled Date: 2017-06-05 � Schednled Tlme: 10:00:00
ACTIaN NEEDED:
Crexted by: We�dy Hiatt Date Cre�ad: 2017-OS-30
ACIION TAKEN:
n �1� ������G�
Status: In Progcess Snbmitter Has Been r,
Contacted
Date Completed: �n—�.� l� Completed by:
w � �,I��e
�
,�
\�
�.
�` f
City o$Fr6dley �
�� ����� ��/
" Wat�r Depar'teraent
• b431 l�niversit�Avenue NE � '� (�(.�5�
Fa-ad6�ey,MN 55432
763-572-35fi6
+/"Ve hereby authorize the C�ty of Fridley and/or its emptoyees to do what is necessary to
replace fihe water meter. B understand that the property owner is tiable fo�the water line from the main to#he premise and all irtterior
plumbing. (Per Lifiy code 402.06) 1 also hold#he City of FMdley and/its employees harmless for arry damages that may occur while doing this
operation. This to indude,but not limited to vah�es,piping,walls,floars or the wrb stap box and senrice line. In understand!am also requir�
to abtain a permit prior to any work,if necessary,
FINAL METER READtA1G(old meterj
� �� � � V
Pfame: ��'Y�QI� ��r?�L`�'w���Address_ r�� � i� ���/
Phone Number�� ' �1 ` V��� p� `Q"- ✓-- �`,
Signature �'1/�"`v WitnessSignature
�
o�o M�,�R#_ �a.�, c� ��� a
OLD READtNG v `J� � � �
PIEW METER# I�d� �D d��
NEW READING C�
E�-# ���.a �7 �153
FRIDLEY CITY CODE
CHAF�TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATiON �
(ltef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
4A2.5 PERMiT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contrador shall be required to abtain a permit for such conoection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. !t sha!!be untawfai to cover
any co�necting li�e uritil an inspection has been made and such connection and the wor�c incident thereto has i�en approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTERIANCE TO CONPIECTION
After the initial connection has been made to the water senrice curb stop boK or the sewer lead at the property line or a water serotce iead has
been extended to the property�ine for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the�roperty otvner
requests mairrtenante service or repairs be performed by the City,the property owner sha!!be charged for the costs of the mairrterrarrce and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It sfiali be the resAonsibility af the applicarrt,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting artd to mair�tain the water service curb stap box for operability and at such height as wiit ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)