Meter Swap ,
t Request Number: 15644
Public works Division
Service Request
Problem Addreas: 610 Dover St Requested By: Bob Rutherford
Department: WATER Addresa: No address provided
Problem/Issae: INSTALL AMR METER Fhone Number: 612-209-5970
Scheduied DAte: 2017-06-01 Schedoled Time: 01:30:OU
U, � �r ' -
�ox rt�En:
Creafed by: Wendy Hiatt Date CreaEed: 2017-US-31
AC7ION T�N:
__ I k S�ll ���-- .__-
Statos: In Progress 5abmitter Haa�een r
Contaeted
Dxte Completed: Com�eted iry:
�� � _ ti� -� �r
�
�6ty o#��^6dley �� ��/ �O�1
� Wa�er Departav'ent �' �� )
� 643�l�niv�rsity Aareroue NE �O�
F�idtey, MN 5543Z �`�
763-572-3566
i/we hereby authorize the C'�ty of Fridley and/or its employees to do arhat is necsssary to
replace the water meter. i e�nderstand that the property owner is liabfe for the a�vater line from the main to#he premise and all iaterio�
piumbing. (Per�Lity code�02.06j 1 afso hoid the Gty of Fridiey and/its employees harmless for any damages that may occur while doicig this
operation. This to i�clude,but nat{imited to vaives,piping,wafis,floors or the curb stop box and service line. In understand 1 am also requirE
to abtain a permit pcio�to any wark,if necessary.
FINA!METER READING(old meter) �����
Name: ���,��-'�a`� A,cldress_ �V� �j�►�j(' �
Phone Number Y✓�'� � �� �j'� `� �
�Signature Wetness Signature
O�D METER# _��� �v u��
OLD READING _ ���/ �
NEW NtETER# _i6� li�i- �� � �J
NEW READING �
E�# �2�.,���y2
FRIDI.EY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMiT FEE
Prior to�constructing or repair of any water af sewer line connecting the existing municipal system and any house or building for which the
applicaCion is made,the owner or com�acto�shatt be required to obtain a permit for such connection,and shatl pay a permit fee as provided in
Chapter 11 of Yhis Code. After such connection has been made,the Water and Sewer Departmerrt shall be notfied It shaii be untawfui to cover
any connecting line urrtil an inspection has been made and such cannection and the work incident fihereto has been appro�d by the City as a
proper and suitahle connection.
402.06 REPAIRS AND MAINTEPIANCE TO COR[PiECTtON
After the initfat connedion has been made to the water service wrb stop{�ox or the sewer iead at ihe property line ar a water senrice lead has
been extended to the property line for connectio�,the apptiqnt,owrer,or occuparrt or user of such premises shall be liable for all repairs
required to any water line and searer lines necessary for connection of the premises from the main to the prem'ises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set artnua![y by an administrative pol3cy. it shali be the responsbility of the appiicant,
owner,occuparrt or user Yo perform s�-andard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water senrice curb stop box for operabitity and at such height as wilf ensure that it remains above the finished
grade of the(and or property. (Ref 638,1156,1191j