Meter Swap � Request Number: 15570
Public Works Division
Service Request
Problem Address: 351 Bellaire Way Requested By: Debbie
Department: WATER Address: No ad�ress provi�d
Problem/Iesue: INSTALL AMR METER Phone Number: 763-245-2916
Scheduled D � � 201 -0 -26 � Schedeled�me: 07:30:00
ACIION NEEDED:
Created by: WerMiy Hiatt Date Created: 2017-OS-23
ACTION TAI�N:
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Status: In Progress Sabmitter IiAs Been r
Co�tacted
DateCompleted: f^�� � Campletedby: �Q��
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Water Department
' 6431 University Avenue NE
�ridley,MN 55432 �O �.. � �2 �
763-572-3566
��`"�e hereby authorize the City of Fridfey and/or its emp(oyees to do what+s necessary tc
replace che water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ait iMerior
pfumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees harmiess for any damages that may occur whiie doing this
operation. This to include,but not limited to vafves,piping,walis,floars or the curb stop hax and service line. 1n understand t am aisa required
to abtain a permit prior to any work,if necessary.
FINAL METER READIPIG(uid meterJ v� �"" ���
Name• �Q V (`� Address �� ( �.J'L���l,L,��e V"Gl�.d
Phone fYumber �� "' �" i5^��.�.�p Date � '^ �� " � (
1�Signature Witness 5ignature
✓
OLD METER# ��� l ����
OLD READING ���� � ��
WfW METER# y i �o�. �� ( �
NEW READlNG �
ERT# � � J � � � � ,�
FR(DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADM{NfS7RAT10N
(Ref Ord No 113,464,565,566,629,638,662,9Z2,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair cF any water of sewer line connecting the existing municipal system and arty house or buiiding for which the
applicatio�is made,the owner or contractor 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 Department shall be not�ed. it shalt be unlawfu4 to covcr
any connecting tine until an inspection has been made and such connection and the work incident thereto fias been approeed by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAtNTENANCE TO COPtNECT10N
After the initial connection has 6een made to the water service curb sCop box or the sewer lead at the property iine or a watet service lead has
been extended to the property line fior connection,the app(icant,owner,or occupant ar aser of sucfi premises shaN be tiabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shell be char�ed for the casts of the mairrtenance andJo�
repairs,incfuding necessary street repairs at a rate set annually by an administrative poiicy. it shali be the responsibil'ity of the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main iacluding debris dearing or
root cutting and to mair�tain the water service curb stop box for operability and at such height as will ensure tfiat it remains above the finished
grade af the land or property. (Ref 638,1156,1191)