Meter Swap T Request Number: 12368
Public Works Division
Service Request
Problem Address: 7381 Co�erto Curae Reqnested By: Robert
Dep�rtme�: WATIIt Address: No address provided
Problem/Iss�: INSTALL AMR METER Phone Number: ?63-245-3472
Schednled Date: 201 3 � Schedaled 1tme: 10:00:00
� �
ACIION NEEDED:AMR
Crexted by: Wendy Hiatt Date Cre�ed: 2016-12-06
ACIION TAI�.N•
1 r �, 1 a Z
Statua: In pro ss sebmitter H�Been r,
� Conhcted
Date Compteted: Compieted by:�
12 �- 13 � �� �
City of Fridiey
"'` Water Department �� ��, �-(�,ti
� 6431 Univers+ty.Avenue IVE
Fridley,MN 55432 '7��� _5--�������
763-572-3566
I/we \�C'��r � 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 a(I iMerior
piumbi�g. (Per City code 402.06) i atso hotd the City of Fridtey and/its employees harmtess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
�
FINAL METER READING(old meter) �� �,�� � _
Name• �0�`�i�� Address �� V I l�v hC'Q�'`� (�t,�.�U'e--
Phone Number �,P� � a�5� � 7� Date �2 — 1�� t�
XSignature WitnessSignature �.'* �'��Lt�"✓�
OLD METER# o�l S f '� � 3 �
OLD READING �`J � � � � �-�
NEW METER# �� �' �� ��
NEW READING �
ERT# � V� � ( ` ��
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipai system and arry house o�buildir�for which the
application is made,the owner or contractor shaii be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. tt shall be uniawful to c�ver
any connecting line until an inspedion has 6een made and suc6 connection and the work incident thereto has been approved by the City as a
proper and suiWble connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC710N
After tt�e initial connection has been made to the water service curb stop box or the sewer lead at the property line or a waDe�service lead has
been extended to the property lFne far connection,the applicarit,owner,or occuparrt or user of such premises shall be tiable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibitity of the appiiqM,
owner,occupant o�user to perform standard maintenance of the sewer senrice line from the premises to the main irtcluding 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 finished
grade of the land or property. (Ref 638,1156,1191)