Meter Swap Request Number: 15435
�
Public Works Division
Service Request
PreW em Address: 7155 East Ri�r Rd Requested By: Alex Johnson
Department: WATER Address: No address provi�d
,
Problem/Issue: INSTALL,�IIt METER Phone Number: 763-516-3415
SchedWed Date: 2017-OS-22 5chednled 1ime: 09:00:00
�
�N U�
ACTTON NEEDED:
Created by: Beth ICondrick Date Created: 2017-OS-18
ACTION T.AI�N: Y«
�5 ��� ��
�'�__....__.._. ... �__.._._. �. :
_.._____............................._....................__.__..._................._
...........__. _......._. __ . ._ ....._........____ � .
��r� �
__........................_._...._ ___....._._._.... _.___...__......_..__ .._....._._....__...___ _._ =,�
- �
Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: �„ 1 \ ��� Completed by: ���
O�p� �`�l
• ,,
. � .�� � � � 5�'
� , �� �tYr+�
Y
.aTi3
City of Fridley �f�� ��� ��� ���
� Water Departrnent '/iJ
� 6431 University Avenue NE h
Fridley, MN 55432 S v� ����
763-572-3566
I/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also rcquired
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ��� � 1, v
Name:_ ��'Q.� ���V�-5c9Y't Address_ ( I�5 �� ���1�°� � _
Phone Number _�� _J� J��� 3�� Date � ��� ` � �
Signature Witness Signature �r
OLD METER#__� Ic>J �� � �
OLD READlNG �� � � � � O
NEW METER# � 1�`� �� V��
NEW READING �
ERT# � � " � ll �`�
FRIDLEY 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 connetting 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 connectPon,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper a�d suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service wrb stop box or the sewer lead at the property line ar a water senrice lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shali be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shali be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. k shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main incfuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
;rade of the land or property. (Ref 638,1156,1191)
�