Meter Swap � � Request Number: 15195
Public works Division
Service Request
Problem Address: 6785 East River Rd Requested By: Atmie
DepArtment: WATER Addreaa: No address provided
Problemtlssue: INSTALL AMR METER Phone Number: 763-213-6337
Sc�duled Date: 2017-OS-09 Sc�edeled'Ilme: 08:OO:OU
� �G�.m
ACTION NEEDED:
CYe�ed by: Wendy Hiatt D�ete Cr�ed: 2017-OS-08
ACTION TAKEN:
_.�____..��_�1...._
St�tns: In Progress Submittet�s Been C
Ca�acted
Dxte Completed: ' Completed by:
S- i �l� �%� `O�
�
�a� - ��Q �o -oz
. �� � �o��
� City of Fridley
Water Department
6431 University Adenue NE
Fridley,MN 55432
763-572-3566
�1N/e hereby authorize the City►of Fridley andjor its employees to do what is necessary to
replace the water meter. !understand that the property owner is liable for the water line from the main te the premise and all interior
plumbing. (Per City code 402.�) 1 also hold the City of Fridley and/its emptoyees harmless for any damages that mayt ocwr while doing this
operation. This to inciude,but not limited to vahres,pipin�walis,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) _ ���� ��O
Name: Address � / �� `-�` �� �—C�
Pho�e Number�"' ����^C/J J�Date ���� �
Signature \ �\ � a Wttness Stgnature
OLD METER#_ � t�l ) l�� � l J�
OLD READING `�l�J `�I �7���
NEW METER# "� FJ" YO� �r � f�'
NEW READiNG �
ERT# � ���EJI 1
FRIDLEY CITY CODE
CHAP'TER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to c9onstructing or repair of any water o�F sewer line conneding the existing municipai system and ar�y house or bu(Iding for which the
appiication is made,tfie owner or contractor 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 notifi+etl. It shail be unlawful to cover
any connecting line until an inspectfon has been made and such connection and the work incident thereto has been approved by the C'ity as a
proper and suitable connection.
402.Q6 REPAIRS AND MAINTENANCE TO CONNECTlON
After the initiaf connection has been made to the water service curb stap box or the sewer lead at the property 11ne or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user af such premises shail be tiable for all repairs
required to a�y water line and sewer lines necessary for co�nection of the premises from the main to the premises. If tbe propert�r owner
requests maintenance service or repairs be qerFormed by the City,the property owner shall be charged for the costs of the mairttenan�andjor
repairs,inc{uding necessary street repairs at a rate set annuafly by an administrative poliry. it shal{be tfie responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris c{eari�or
root cutting and to maintain the water service curb stop box for nperability and at such height as wiil ensure that it remains above the finished
grade of the land or properCy. (Ref 638,1156,1191j
r