Meter Swap ` Request Number: 15575
Public Works Division
Service Request
Problem Address: 7035 East Ri�er Rd Requested By: Jxkie
Department: WA1ER Address: No address provic�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-402-0828
Scheduled Date: 2017-06-17 � Schednled 1lme: 10:30:00
�� / �
ACITON NEEDED:
Created by: Beth Kondrick Date Crested: 2017-OS-25
ACTION TAI�N:
Status: In Progress Submitter Has Been r
Coutacted
Date Completed: Completed by:
�D�- .�o��oo�- d2
y �ity of Fridiey
� Water Departrnent �� ��
6431 University Avenue NE
Fridley,MN 55432
763-572-3565
��`iVe hereby authorize tfie City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the properly owner is liable for the water line from the main to the premise and all iMerior
plumbi�g. {Per Crty code 402.06) 1 aiso hold the Crty of Fridley andJits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,ftoors or the curb stop boK and senrice line. In understand!am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter) ��� '���
Name:�i�/� '�+' Address _ �v�7� � ���/ �
Phone Number � � l�•�. —s/�G Date �O//7/�.O/`7
_ ,
Signature ��t-i Witness Signature
OLD METER# Z,'�R�`[O
,
OLD READING �� ` Y� �-�--�-- _
�-�
NEW METER#��v `�"�`Q�
", i
/�� 49062468
NEW READING �l� _..__-- - --- - --_
i i ii if E �
ERT#_, 1 . ,1 1 71921995
�____ _
FRIDLEY CITY CODE
CHAPTER 402.WATER,5TORM WATER AND SARIITARY 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 of sewer iine conaecting the existing municipal system and any house or building for which the
app(ication is made,ihe owner or contrador shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shail be notified. it shall t�unlawful to cover
any connecting line until an inspection has been made and such connection a�d the wortc inctdent therefio has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS APID MAINTENANCE TO CONNECTION
After tfie initiai connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water seroice lead has
been extended to the property line for connection,the appiicant,owner,or occuparit ar user af such premises shaN be iiable for all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. If the property oarner
requests maintenance service or repairs be perFormed by the C'rty,the property owner sheil be charged for the costs of the maiMenartce and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shail be the responsibil'rty af the app{icaM,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the rarater 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)