Meter Swap � _ _ Re�c uest Number_12932
Public works Division
Service Request
Probiem Aaddress: 7625 Arthur St Requested By: Craig Nedegaard
7625 Artlnr St
Departmeat: WATER Address: Fridley,MN 55432
Problemllsaue: INSTAI.L AMR METER �Iwne Nwnber: 612-296-7954
Schefluled Date: 2017-01-2 Schedeled 11me: 11:00:00
� �
ACIION NEEDED:
Created by: Beth Kondrick Date Cremted: 2017-01-18
ACIION TAI�N:
�-v� � l�e d� N�f� S �� �- -
;�-
Status: In Progcess ���er Has Been r
Catrtncted �
Date Completed: 1� a.,�— �,� Completed by:
����
.� _.
.��:. . �A�
..:�} .
� �� �
lAfate�-I)epartrnertt
6431 Universityr Averaue P1E ,,
�rititey,MN 55432 ��� �y���yv�5,,/
, 753-572-3566 � � � I� �
�O"Ye � hereby authorize the�ity af Fritliey and/or its empioyees to alo what is necessary to
replace#he water meter. I understand that#he propea-ty owner�s liable for the water line from the main to the premise and all irrterior
plumbing. {Per City code 402.06) i also hold the City e�f Fridley and/'rts employees harmless for any slamages that may occur while doing this
operation. This to include,but not limi#ed to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also require�
to obtain a permifi pr9or ta any rror�c,if necessary.
FIAIAL METER READING(old meter O � � �� O
)
Name: � ul, 'v (� Pid�j Address l "��� ✓�+.
p� �q/_ u/
Phone Number�IG�'2`� � 1 lD — 7 q S- / Date L� '1 � � �—Z
d��
Signature Witness Signature
O�D METER# �/p��l� ��
OLD READtNG � � � ��D �
NEW METER#_ 4 � 1 v / � � �
NEW REr4Di1VG �
ERT# � I ��� ��
FRIDI.EY CITV CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord NO 113,4&4,565,566,629,638,662,922,988,1144,t156,I191)
402.5 PERMtT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing muniapal sys#em and arry house or buiidir�for whic6 the
appiication is made,the owner or cornractor sha(1 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 shall be notified. It shatl be uniaarful to cover
any connecting line urrtil an inspection has been made and such connection and the work inciderrt thereto has been appro�ed 6y the C'rty as a
proper and suitabte conn,ection.
402.06 REPAIRS AND lIAAINTENANCE TO CONNECTIOW
'.�
A#ter the initiat connection has been made to the water service curb stop 6ox or the sewer lead at the property Ifne or a water�rvice ba,t��has
bee�extended to fihe property line for connection,the applicarrt,owner,or accupant or user of such premises sfiall be IiaWe for all repairs
required#o any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the pr,operty owner
requests mairrtenance service or repairs be perForrned by the City,the property owner shali be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. R shati be the responsbil'rty of the applicarrt,
owner,occupant or user to perform standard mairrtenance of#he sewer service line from the premises to the main�ncluding debris dearing or
root cutting and to mair�tain the water service curb stop box for operability and at such height as will ensure that it remains abore the finished
grade of#he land or property. (Ref 638,1156,1191)