Meter Swap �
= Request Number: 15790
Public Works Division
Service Request
Problem Address: 361 Bellaire Way Requested By: Nancy
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMIt ME'IER Phone Number: 763-502-0717
Scheduled D�te: 2017-06-09 Schedale�Tlme: 07:00:00
. %1
AC7TON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-06
ACTION TAI�N:
�� ���� ����� �
___..._..._________..__.____.._..........._....�......g� __.....__._..............��-�'�-__.__.___._.._._._____._.__.__.__._.___
Status: Tn Pro�ess Submitter Has Been r
Contacted
DAte Completed: �� �!' � Completed by: ���p
�ity���r6clley �i'�'�' �' ���i�� c�J
` Wa�ter Dep�ar�s�rten�
t �431 l�niversity Avenue NE ��-�{� � ���
Fridl�ey, MPl 55432 �f�
763-572-3566
i/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. E undentand that the property owner is liable for the�vater line from the main to the premise and alt irtterior
piumbing. (Per City code�02.06j I atso hold the City of Frid(ey and/its empioyees harmless for any damages that may occur while doing t6is
operation. '!'his to include,but not limited to va(ves,piping,walis,floors or the curb stop boK and service line. In understand 1 am aiso requi�c
to a6tain a permit prior to any work,sf necessary.
FINAI.METER READING(old meter) � " G�� ��
Plame: �"� Addcess !�( �L� � 'Y `�
PhonelVumber ���1 `�V.0 '"- �� �� Datie � — 1 "– L
Signature W�tness Signature ^
OLD METER# � �- 1 � � � ��
OLD READING ��� / ✓ ` `�
N�W METfR# ` `��� ���
NEIA/READING O
��-# �a3�5�ya
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM W�4TER AND SANITARY SEWER
ADMINISTRAT{ON �
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PEttMIT FEE
Prior to constructing or repair of any water of sewer line coanecting the existing municipai system and arry house or�ilding for which the
application is made,the owner or contractor shaQ i1e required to obtain a permit for such connection,and shati 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 nofified. It shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work'sncident thereto has been appraved by the City as a
proper and witable connection.
402.06 REPAIRS ARlQ MAINTENANCE TO COP(PlECT101V
After the initiat connection has been rnade to the water service curb stop iqox or the sewer lead at the properly line or a water service lead has
been extended to the properiy line for connection,the appiicant,owner,or occuparrt or user of such premises shaii be liable for ail repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. tf the property oarner
requests mairrtenance service or repairs be perfo�med by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs.includtng necessary street repairs at a rate set annually by an administrative policy. It shail be the responsibility of the applicaM,
owner,occupant or user to perForm standard mairrtenance of the sewer service tine from the premises to the main incfuding debris dearing or
root cutting end to maintain the water service curb stnp box for operability and at such height as will ensure that it remains above the finished
grade af the(and or�roperty. (Ref 638,1156,1191)