Meter Swap ° Request Number: 15572
Public Works Division
Service Request
Problem Address: 100 Alden Circle Requested By: Neil Hill
Department: WATF.R Address: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 520-67$-4372 ; :�4;
�.
�f.
Scheduled Date: 2017-OS-30 Schednled 1lme: 09:00:00
�`'" Ccr� x°�
AeTION NEEDED:
Created by: Beth Kondcick Date Created: 2017-OS-25 '
ACTION TAI�N:
�—,
....__._..........._..........._..____._.._....._�'`_����,�.....�.._�_�._......._...__..._..._..M��a��.`�.--_._._____..._._.
��;
.,
......r..._._............................._........_..._._......._............................................_.._.._.,._...__...._.._..._......_............._............................__.`..._.._..__.._..........._...._..._�.._...�.._.._......_._..�_..__...�..._.....�...._.�..._....�� �
+;.:�.T�."
Status: In Progress Submitter Haa Been r �
Contacted
Date Completed: �_ �J1,_ I� Completed by:
V l ���,,�
City of Fridley
��� '" `t'"6 O ��Q r�4"
� Water Department
' 6431 llniversity Avenue NE C
Fridley,MN 55432 S�� �Z�7
763-572-3566
��we hereby authorize the C'rty of Pridley and/or its emptoyees to do what is necessary to
repiace the water meter. t understand that the property owner is liable for the water line from the main to tfie premise and afi interlor
ptumhing. (Per City code 402.06j 1 also hoid the City of Fridley and/its employees harmless for any damages that may ocwr whiie doin�this
operation. This to inciude,but not limited to valves,pipin�wa(Is,floors orthe curb stop box and sentice line. In ocxiers'Wrnl i am also required
to abtain a permit prio�to any work,if necessary.
i
FINAL METER READ{NG(old meter) � � �" - � � �
Name: 'v�',4 1 �l� �' Address __ � �� ���`�1�. l�G,�
Phone Number
�a u - c�� - ���a� o� � -- 3 d - l`7
Signature Witness SignaCure
OLD METER# � r'�"`�✓����
OLD READItVG � � l�� ` � �
WfW METER# _ ` 1���c � t �
NEW READING �
ERT# __ � oC �� �� 1 1
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANfTARY SEWER
ADMfNfSTRATION ' '�•�E,
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156�1191j .�, �
402.5 PERMiT FEE "
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and a�ry house or building fvr whicfi the
appfication is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit f�as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer pepartmerrt shall be notified. It shal!be untawfu!to coaer
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPA(RS AMD MAtNTEtYANCE TO COPiNECTiON
After the initial connectiort 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 applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water 1'sne and sewer{ines necessary for connection of the premises from the main to the premises. if the pmperty owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance and/o�
repairs,inciuding�ecessary street repain at a rate set annually by an administrative policy. R shaH be the responsibility of the applicant,
owner,occupant ar user to perform standard mairrtenance of tf�e sewer senrice line from the premises to the main inctuding debris dearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as will ensure that it remains aboae the finished
grade of the land or p�operty. (Ref 638,1156,1191)