Meter Swap ' Request Number: 12375
Public Works Division
Service Request
Problem Address: 7380 Co�erto C�rr�e Requested By: Mitch
DepartmeM: WA'IER Addreas: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-267-4793
Sc6edaled Date: 2016-12-08 5chednled 1lme: 11:30:00
ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-12-07
ACTION T.+I�N:
__.�..__����..�._ � � ��.
Ststus: in Progress Submitter Ha:Beca �
Coutacted
Date Compteted: Completed by:
Hours
�.Z _ g_ 1 � ` � _
City of Fridiey �C� � �C'��
Water Department
., 6431 University.Avenue NE
• Fridiey,MN 55432 L �J
763-572-3566 �v ��>� i� ���
�/We ���``�-�- hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
piurrabing. (Per City code 402.06) I also hoid the C'rty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service li�e. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
�� V 1 � �
FINAL METER READING(old meter)
Name• ! l p� r` Address � J � ��'C"�r
Phon u er 7��� �� � � >Date �� � � �
� Signatu Witness Signature ��
OLD METER# � �� � -I � , �
OLD READING � � � � �O
NEW METER# — I� I I �� � �
� NEW READING ( �
�:.
Er�r# �o�� ��2 �
co �� r7 �1 5 ��j
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal�m and arry house or building for which the
application is made,the owner or corrtractor 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 shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the worfc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a watcr service kad has
been extended to the property line for connection,the applicant,owner,or occupaM or user of such premises shall be liabie for a!1 repalrs
required to any water line and sewer li�es necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mairrtenance and�or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occuparrt or user to perForm standard maiMenance 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 will ensure that it remains above the�nisFied
grade of the land or property. (Ref 638,1156,1191)