Meter Swap � � Request Number: 15521
Public Works Division
Service Request
Problem Address: 255 Craigbrook Way Requested By: John Watkins
Department: WA1ER Address: No address provi�d
Problem/Issue: 1NSTALL AMR ME1EIt Phone Number: 763-268-9876
Sc6eduled Date: 2017-OS-25 Scheduled'IYme: 01:30:00
�� � 3
ACTION NEEDED:
Created by: Beth Kotxhick Dnte Crenteds 2017-OS-23
ACI'ION TAI�N:
1.�5-�Cf�� j�-�.�---
Status: In Progress Sebmittcr Has Been r
Contscted
Dxte Completed: ���r 1� Completed by: ����
l
���,O�Fr,d�ey 2� �., t��13� -D�—
Water Department
' 6431 llniversity Avenue NE � � � � `��5
Fridley,MN 55432
763-572-3566
��'"�e hereby authorize the City of Fridley andJor'rts emptoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabfe for the water line from the main to the premise and alt irrterior
piumbing. (Per Cityt code$02.06) t also hald the City of Fridiey andrts employees harmiess for any damages that rnay occur while doing this
operation. This to inciude,but not timited to vatves,piping,watls,floors or the curb stop box and senrice line. In understaind!am atso required
to abtain a permiY prio�to any work,�f netessary.
F{NAL METER READHIIG(oid meterj ` � ✓�.L� Vq V
Name: �C�Y`1/� �`'�+�'�'� Address � � � 1;� vvU4-
^ Date �r'��'— l
Phone�tum r ����o'`�"' �V `� �
._..- , `�
Signature Witness Signature
OtD METER# � �����
� �
OLD READlNG ����� l�O
NEW METER# � 1��� ���
IVEW READING �
E�-# ��3� 5 � �� .
FR(DLEY CfTY CODE
CHAPTER�02.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERAA(T FEE
Prior to constructing or repair of any water of sewer iine conaecting the existing municipat system and any hause rn bui(ding for which the
appiication is made,the owner or coritractor shall be required to obtain a permit for such connection,and shatf pay a permti fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Se�rer Department sfiafl 6e notified. R shail be unlawful to cover
any connecting line urrtit an inspection has been made and such co�nection and the work incident thereto has been approved by the City as a
proper and suitabfe connection.
402.06 REPAIRS AND MAtNl'ENAIVCE TO CdPINECTION
Afte�the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service bead has
b�en eutended to the propecty line for connection,the applicant,owner,or occupant or user of such premises shall be tiable for a1f repairs
required to any water ttne and sewer lines necessary inr connection o#tfie premises from the main to the premises. tF the property owner
requests maintenance service or repairs be performed by tfie Cityr,the property owner shali be charged for the c�ts ot tMe mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrafive po{icy. !t sfiali be the responsi6ility of the app{icarrt,
owner,occupar�t or user to perform standard mairrtenance of the sewer service line from the premises to the maire inciuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiU ensure that it remains above the finished
grade ofi the land or pcaperty. (Ref 638,1156,1191)