Meter Swap ,
y Request Number: 15687
Public works Division
Service Request '
Problem Address: 615 Cheryl St Requested By: John
Department: WATER Addresa: Aio�ress provided
Problem/Issue: INSTALLAMRME'IER PhoneNumber: 763-226-1T55
5chednled Dxte: '2017-Ob-02 � Sch�duled 1lme: 11:00:00
� 2 ��
ACTION NEEDED:
Created by: Wendy Hiatt Date CreaEed: 2017-06-01
ACTION TAI�N:
C�,S�� � �'�C�-
�
Status: In Progress Sabmitter Hss Been r,
. Coatacted
Date Completed: Completed by:
�-7,-�-z �-�-�t�- .
City o��ridiey �O`T ✓�v`t'�'ll�� �d'
� Water Departrraent �C/ �11= ���
• fs431 l�niversity Aventae NE
Fridley,MN 55432
763-572-3566
�%''�e hereby autharize the Gty of�ridley and/or its empbyees to do what is necessary to
replace the water meter. 1 understand Chat the property owner is tiable for the water line from the main to ihe premise and ali irrte�or
plumbing. {Per C'Ry code�02.06j i atso hoid the City of Fridley and/'�ts employees harm{ess for arry damages that�nay ocwr while doing this
operation. This to indude,but not limited to vafves,piping,wafls,floors or the curb stop boK and servsce line. 1n understand 1 am also requir�
to abtain a permit prio�to any work,if necessary.
FINA!METER REApiNG{oRd meter) �� � " � V�
Name: �J L�� Addre�s � �
Phone Number " p� � `�� `�
�/ Signature Witness Signature
i
OLD METER#__� C�� � J��
OLD READtNG _ � ,�1 I g � �
N��M��R# �f q 22 �23q
NEW REA,D1111G v
E�r#-� 222-1 f-I �2.
FRIDLEY CITY CQDE
CHAPTER 402.WATER,S7ORM WATER AMD SANITARY SEWER
ADMINfSTRATION �
{ltef Ord Pla 113,464,565,566,629,638,662,922,988,1144,1156,I191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the ezisting municipa!system artd arry house or building for which the
application is made,the owner ur contractor shal{be required to abtain a permit for such connection,and shafl pay a permit fee as provided in
Chapter 1I of this Code. After such connection has i�een made,tfie Water and Sewer Departmerrt shali be notified. 1t shail be unlawful to cover
any connecting line urrti!an inspection has been made and such coonection and the work incident thereto has been approved bY the City as a
proper and suitabie connection.
402.06 REPA(RS APID MAIIVTENANCE TO CONNECTIOfV
After the initial connectian has been made to the water service curb stop box er the sewer lead at Che property line or a water service iead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises sha14 be IiaWe for at{repairs
required to any water line and sewer lines necessary#or connedion of the premises from the main to the premises. If the pcoperty awner
requests mairrtenance service or repairs be performed by the City,the property owner shail be charged for the casts ef the mai�enance and/or
repairs,inciuding necessary street repairs at a rate set annual(y by an administrafive policy. (t shall be the responsibility of the applirarrt,
ovorrter,occupant or user to perform standard maintenance of the sewer service iine from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiit ensure that it remains above the finished
grade af the land or property. {Ref 63g,1156,1191�