Meter Swap n Request Number: 16233
i
Public Works Division
Service Request
Problem Address: 631 Dover St Requested By: Alyssa
Department: WATER Aeddress: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-810-9612
Scheduled Date: 2017-07-07 Scheduled 15me: 08:30:00
. � � �
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-OS
ACTION TAI�N:
...................In���:�.....................�...�-�G..1�._..._............._.__.__......_.._._._.._..........____.__...._............_.__._......_..:......._._.._..__....._....._......._.__........_.____.._......._...�.__....._
Status: In Progress Submitter Has Been �.,
Contacted
Date Completed: Completed by:
Hours --�^ f
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City of Fridley �� � -( ` � �
' � Water Department
6431 University Avenue NE
Eridley,MN 55432
763-572-3566
��We hereby authorize the City of Frtdley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the mafn to the premtse and all interior
plumbing. (Per City code 402.06) I alsfl ho{d the City af Fridley and/its empioyees harmless for arry 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 service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIPIG(old meter) �Y�� � �t.!
Name• S� Address ��` ����`>v"' ��
Phoae Number �� V L� pa��,.--�"� �"�
�Signa Witness Signature
OLD METER# �U J� (�� "��
OLD READING �'�C� �D
NEW METER# � 1 1���� ! �
NEW READtNG _�
ERT# ��_ 1 ' di-� J�
FRIDLEY CITY CODE
CHAP'TER 40Z.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 arry water of sewer line connecting the existing municipal system and arry house o�building for which the
appiication is made,the owner or contractor sha11 be required to obtain a permit fior 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 Departmerrt shall be notified. It shail be unlawful to covec
arry connecting line until an inspection has been made and such connection and the wortc incident thereto has been approved by the City as a
proper and suitable connection.
402.Q6 REPAtRS AtVD MAtWTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly I►ne or a water servica�lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be IiaWe for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises, ff the property owner
requests maintena�ce service or repairs be performed by the�ty,the property owner shali be charged for the�of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main induding debris clearing os
root cutCing and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)