Meter Swap Request Number: 1638'7
Public Works Division
Service Request
Problem Address: 7776 Alden Way Requested By: John V.
Department: WATER Address: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-363-4751
Schedule te: 2017-07-26 ,,,� Sc6eduled'Rme: 02:00:00
/
ACTION NEEDED:
Created by: Wendy Hiatt Date Cre�ted: 2017-07-18
ACTION TAI�N: �
_.....___._._.___._.____��:._�.:�.�_�� ._._.____..._..._T�.�-�- ___.___�._
Status: In Progress Submitter Has Been �.
Contacted
Date Completed: '"'�'_��_ �`� Completed by: c
Hours J �-�
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<. ' City o#Fridley �� � yj� ( �—
Water Departrro�ent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��`"�e hereby authorize the City of Fridley artd/or its employees 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 ali iMerior
plumbing. (Per City code 402.06) 1 also hold the City uf Fridtey and/its employees harmiess for arry damages that may occur while doing this
operation. This to include,but not limited to valves,pipin�walis,floors or the curb stop box and senrice line. in urtde�stand i em also required
to obtain a permit prior to any work,if necessary.
FINAL METER READtAiG(otd meter} (!��` � ����
Name: J d.� �' Address 4 � VJ ' `e r
Phone Number �� —' lSf�"-'��u� D�e " � �"'J�' 1
��
' ature Witness Signature
OLD METER# �� I � V�� �
OLD READING ���`'' p��V
NEW METER# � ��� �� �/
NEW READING LJ
ERT# �� G � ����
, FRIOLEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
AUMINISTRATION
(Ref Ord No 113,464,565,566, 629,638,662,922,988,1144,1156,1191j
402.5 PERMlT FEE
Prior to constructing or repair ofi any water of sewer line cbnnecting the existing municipal system and arry house or building for Mrhich the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shafl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the wor{c inc+dent thereto has been approved by the C1ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COMtYECTlON
After the initial co�nection has been made to the water service wrb stop box or the se�erer lead at the property tine or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water{ine and sewer 4ines necessary for connection of the premises from the main to the premfses. ff the property owner
requests mair�tenance service or repairs be perFormed by the City,the property owner sfialf be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the respoasibility of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris ciearing or
root cutttng and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191�