Meter Swap ' Request Number: 15546
Public works Division
Service Request
Problem Address: 7595 Alden Way Requested By: David
DepartmeM: WATER Address: No address provided
Problem/Issne: INSTALL AMR METER Plwne Number: 952-491-0141
Scheduled Date• 2017-OS-31 Sc6ednled 1tme: 01:00:00
1ST
ACIION NEEDED:
Created by: Wend}+Hiatt Date Crested: 2017-OS-24
ACIION TAI�N: �
___._1���,�___��
StAtus: In Progress �p�►��er Has Been �,
Contacted
, Date Completed: Completed by:
�' � �-- �-1 .�1�' loY--
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City of Fridley �`�(N /��
�` Water Department �� � � �� 1��,
6431 lJniversrty Avenue NE
Fridley,MPI 55432
763-572-356� � � �Z��
�j�Ne hereby authorize the C'rty of Fridley and/or its employees to do what is necessary to
replace the water meter. {understand that the property awner is liabte for the water line from the main to the premise and alt iriterior
plumbing. (Per City code 402.06) I also hold the C'rty of Fridley and/its emptoyees harmiess for any damages that may oc.cur while doing this
ope�ation. This to include,but not limited to va(ves,piping,walis,floors or the curb stop box and senrice line. tn u�derstartid t am atso required
to abtain a permit prior to any work,if necessary.
FiNAI METER READiNG(old meterj �� �� ��`�
�-t
Name: L(:� Address l ��� �'P/� ���
Phone Number � �`'� ��� "J�^ �`'� ��
Y�.„
�Signature Witness Signature
OLD METER# � �� l V
OLD READING,� � �� t�O
NfW METER# ��Z� �I��
NEW READING LJ
E�# if �ZZ��1 �3
FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipaf system and any house or bu8ding for which the
application is made,the ow�er ar contrador shall be required to obtain a permit for such connection,and shall 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. it shall be unlaarful ta cover
any connecting line urrtif an inspection has been made and such connection and the work incident thereto has been approved by the C"rty as a
proper and suitable co�nection.
402.06 REPAIRS APID MAINTENANCE TO CONNEC170N
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to fihe property tine for connection,the applicant,owner,or occupant or user of such premises shall be 1lable for all repairs
required to any water line and searer lines necessary for connection of the prer+�ises from the main to the premises. ff Che properly owner
requests maintenance service or repairs be performed by the City,the propertr/owner shall be charged for the cests uf the maintenance andJor
repairs,inciuding necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard mair►tenance of the sewer service line from the premises to the main including debris dearing or
root cutting and#o mairrtain the water service wrb stop box for operabitity and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)