Meter Swap i ' Request Number: 15668
Pubhc works Division
Service Request
Problem Address: 6941 East River Rd Requested By: Telma.Alvarez
Department: WATER Address: No address�xovided
Problem/Issuc: INSTALL AMR METER Phone Number: 763-354•0473
Scheduled Date: 2017-06 2 � Sc6eduled Tlme: 01:30:00
� 3
ACTION NEEDED:
Created by: Beth Kondrick Date Crented: 2017-OS-31
AC'IION TAI�N:
�c�,5�.�� ��—�►�—
Status: In Progress Snbmitter Has Been r
Co�acted
Dnte Completed: Completed by:
' �.o-- 2- ��l �' �'r'
- �
�i�y of'�ridley ✓ ���`�`�V�—��
� Wa�er Departrraer�# � �- �2� !
" b431 lJniversity�Arrenue NE
F�-idley, MPI 55432
763-572-3566
��°iVe herebq authorize the Gty of Fridley and/or its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property ourner is liabfe for the water line from xhe main ta the premise and al{irrterior
plumbing. (Per zitoty code 402.06j 1 also hold the City of Fridiey andrts employees harmless for any damages that may occur while doing this
operatiom. This to indude,but not limited to valves,piping,walis,floors or the curb stop boK and service line. M understand 1 am aiso requir�
ta obtain a permit prior ta arry work,if necessary,
FINAL METER READING(oid meter) �� �� ��a
Name• P i � u Address �
Phone�Iumber���'�JV�'�� I.7 D� �Q��j' 1��
�Si n e Witness Signature_���
OLD METER# ��� � � � � � �
OLD READING �� EO J ZQ
���M�E�� �!��Z �2'��
�E�R�AD��G D
E�# �12-22�`LZ�-1
FRIDLEY CITY CODE
CtiAPI'ER�02.WATER,STORM WATER AP/D SANITARY SEWER
ADMINISTRATION �
(Ref Ord Pl�113,4�4,565,566,629,638,562,922,988,I144,1156,1191j
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipal system and ar�y house ar building for which the
application is made,#he owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a penmit fee as provided in
ChapCer 11 of this Code. After such connectio�has been made,the Water and Sewer Departmerrt shali be notified It shail be unla�aful to cover
any cannecting line until an inspection has been made and such sonnection and the work incident thereto has I,�en approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS AWD MAINTENAMCE TO COPtNECT10N
After the inifial connection has been made to the water senrice curb stop box or the sewer iead at the property iirie or a water service tead has
been axtended to the properCy line for connectio�,the applicarit,owner,or accupant or user of such premises shall be liable 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 senrice or repairs be�►erformed tsy the City,the property owner shall be char�ed fior the costs of the mairrtenance and/or
repairs,includtng necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user Yo perform sCandard mairrtenance of the sewer service line from the premises to the main inciuding debris dea�ng or
root cutting end to snaintain the water service curb stop box fo�operabitity and at such height as will ensure that it remains above the finished
grade af the iand or property. (Ref 638,1156,1191)
7
y.. ,
.,. ._,.:. � ._._„_ -,
.. : / �� _
� v -J ! ;�1��
����1 l
���
�� � ;
. • j
City of Fridley
,, water Department ,
. Address � / �( �- �`�� /c� .
Name ..JGcfn�.s � S��i�v� , _
� Date 1�9—/�. --c�6
� Old Meter Number / �� 3� S�?d,-
Old Meter Readin 4 �9
� Replacement No. �3 ',
Replacement Reading� �
' Replacement Make /'
. . ' Remarks: � �m%��.1 lh���
Signed
, _ _,. _ _____ _ _ ..
_ _, _ #. _._