Meter Swap Request Number: 15513
S
y pU�1C wOTkS DIV1S10I1
Service Request
Problem Address: 7650 Alden Way Requested By: Jim Gammelgazd
Department: WATER Address: No a�ress provickd
Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-566-1624
Scheduled Date: 2017-05-24 5chednled'Lime: 08:00:00
V�.J � U �Y�'�
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-23
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been �.,
Contacted
Date Completed: � � ) �„C`r Completed by: �,�
0� 6
�ity of Fridley 3 � I � _t ����60�
Water Department �"�-}�-� /���(�;`
6431 University Avenue NE c�,�rT ����v 1
* Fridley, MN 55432
763-5T2-3566
��'"�e hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water metes. t understand that the properry owner is liabie for the water line from the main to the premise and all interior
plumbing. (Per City code 4Q2.06) l aiso ho4d the C'rty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,6ut not limited to valves,piping,waifs,floors or the curb stop box and seroice line. In understand!am also required
to obtain a permtt prior to any work,if necessary.
FIPIAL METER READING(old meter) �� �� v
�s A1ame: J4� �I�V1.Y���Q a.Y'"� Address � ��O 1►"�� ��
Phone Number �lf�� ` ��' ��j-�� pate � � � I� ��
Signature Witness Signature
OLD METER# _ ( 6 G ! ��v�
�3LD READING � � J� i.�V
NEW MfTER# � I��10 V��
NEW READING v
E�# `� a355 ► 3g
FRIDLEY�fTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,46�t,565,565,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair o�F a�y water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner oc coatractor shall be required to obtain a permit for such connection,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 shall be notified. It shail be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
�02.06 REPAIRS AND MAINTENAIVCE TO COPINECTIOfV
After the initiai connection has been made to the water seroice curb stop 6ox o�the sewer lead at the property line ar a water seroice lead has
been extended to the property line for connection,the applicarrt,owner,ar occupant or user af such premises shal{be liable for aii repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be perforrned by the City,the property owner shalt be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibitity of the app{icartit,
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 and to maintain the water service curb stop box for operability and at such height as wiU ensure that it remains above the finished
grade of the fand or property. {Refi 638,1156,1191)