Meter Swap .
` Request Number: 15153
Public Works Division
Service Request
Problem Address: 6835 East Ri�r Rd Requested By: Jeffrey lhompson
Department: WATER Addresa: No address provided
ProblemlLcsue: INSTALL AMR METER Phone Number: 612-554-2530
Scheduled Date: 2017-OS-06 - � Scheduled 11me: 10:00:00
N
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-OS
ACTION TAI�N:
5tatus: In Progress Submitter Has Been r
Coutxeted
Date Completed: Compteted by:
_1/�..�
. �� ��v�� -��
� City of Fridley �� ��
Water Department � � �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable fo�the water line from the main to the premise and al{interior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur vrhile doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READtNG old meter � �.(l
� �
Name: _ {�C,� I K-���So'�� Address l.l D� � C� �' 1���� �cL
.�
Phone Number l4��7�"!'�2�7 3� Date_��4���
Signature Witness Signature�,�
OLD METER# 1���Z�g
OLD READING �lD (1 )' �!J ��
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�Ew��ER#� II IIpNII�NNIINHIIINiiIIN�� �- �
49208084
NEW READING _— -- _ _ ____--
ERT#� IIIIIIIIIIIIIIIIIIIIII E
11 72223690
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
P�ior to constructing or repair of any water af sewer line conneding the existing municipal system ar�d any house or buiWing for which the
appiication is made,the owner or contrador shall be required to obtain a permlt for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the Clty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servic�tead has
been eutended to the property line for wnnedion,the applicant,owner,or occupant or user of such premises shall be Itable fo�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 maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to mai�tain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)