Meter Swap � Request Number: 15164
• Public works bivision
Service Request -
Problem Address: 6775 East River Rd Requested By:- Tanya Kon�e
Department: , WATER Addresa: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-9023
Scheduled DAte: 2017-OS-Ob � 5c6ednle�11me: 02:00:00
ACITON NEEDED:
C4�eated by: Wendy Hiatt Date Cceated: 2017-OS-OS
AG7ION TAI�N:
Status: In Progress Submitter Has Been r
Coututed
Date Completed: Compieted by:
J/����
3�.�r s���z� �
. � � �o�-�
� City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its empfoyees to do what is aecessary 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 interior
plumbing. (Per City code 402.06) I also hold the City of Fridley andjits employees harmless for any damages that may ocwr while doing this
operation. This to intlude,but not timited to valves,piping,walis,floors or the curb stop box and se�vtce line. In understand I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) 1 � � F "' � �
Name: � 1��-`t/�i _,_, Address lv1„1�� i�Dsif 1/'�� ��
Phone Number �2� `b2 Date /'�l 1
Signature Witness Stgnature �t i(1
OLD METER# �3 �O ?y�
OLD READING � `" �� " ��
� ;
---- -�---------
NEW METER# � ���� �
� � �
NEW RE�►DING �����____48907176 �
ERT# � IIIIIIIIIIIIIIIIIIIII E� �
—^ 1 'I �1812627
��� � �
FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be aotified. It shall be unlawt'ul to cover
any connecting line until an inspettion has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO C0INNECTION
After the initial ca�nection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for wnnedion,the applicant,owner,or occupant or user of such premises shall be liabfe for afi repairs
required to any water iine and sewer lines necessary for connection of the premtses from the main to the premises. If tbe property owner
requests maintenance service or repairs be performed by the City,the property owner shall 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 sfialt be the responsibillty of the app{icar►t,
owner,oaupaot or user to perform standard maintenance of the sewer service line from the premises to the main induding deb�is dearing or
root cutting and to maintain the water service cu�b stop box for operability and at such height as will ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)