Meter Swap � Request Number: 15800
Public Works Division
Service Request
Problem Address: 248 Ely St Requested By: Cindy
Depnrtme�: WA1ER Address: No address provided
Problem/Isa�: INSTALL AMR METER Pbone Namber: 763-257-2610
Scheduled 2017-06-09 ' � SchednleA 11me: 10:30:00
�
AGTION NEEDED:
Creat�by: Wer�y Hi�t Date Created: 2017-06-06
ACIION T N:
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Status: In Progi�ess Submitter Hns Been r,
Co�acted
Date Compieted: Completed by:
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�ity o#Frid{ey
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' F�t11�y,MN 55432 ��� /�� l�
763-572-3566 �t�
I/we hereby authorize the C�ty of�ridley andjor its employees to s!o what is necessary to
replace�he water meter, !a�nderstand that#he property owner is liabte for the water line from#he main to the premise and all iriterior
pfumbing. (Per�L'�ty tode 402.06) 0 alsa hold the City of Fridley aadrts empfoyees harmless for any damages that may occur wfiiie doing this
operation. This to inctude,but not limited to valves,piping,walfs,floars or ihe curb scop box and service line. in understanct t am also requir�
to abtain a permit prio�fio any wark,if�ecessary.
FIPIAL METER READING(old meterJ � � � � "ti-1`-�
Name: Add�asess v�� �/�-� ��
Phone 9Yumber � _ ��� � v�'�b Date_�"�"'��(�
ignature Witness Signature `
OLD METER# io-`� 10� �
OCD READlN�S b � I � �b
NEW NiETER# `1� ws�j ��
NEW READING�
a
ERT# _�,���1� � ` ��
FRIDLEY CITY CODE
CHARTER 402.WATER,STORM WATER AfYD SANITARY SEWER
ADMINISTRATIOAt �
{Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prios#o constructing or repair of any water of sewer line cannecting the existing municipa{system and arry house or building for which the
application is made,the owner or contractor sha(t be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection fias been made,the Water and Sewer Departmerrt sha116e notified. tt shal[be un(awfvt to cover
any connectireg line urrtif an inspection has been made and such connection and the wor�c inciderrt thereta has been approved by#he Crty as a
groper and suitabfe connection.
402.06 REPAIRS AMD MAtNTENAAICE TO CONNECTION
Aftec the initiat connection has been rnade to the water service curb stop boK or the sewer lead at the property iine or a water service lead has
been extended to the property line for sonnection,the applicac�t,vwner,or occuparit or user of such premises shall be liabte for ail repairs
required to any water line and sewer liries nec,essary for connection of the premises from the main ta the premises. tf the prvperty owner
requests mairstenance service or repairs be perFormed by the City,the property ownec sha(!be char�ed for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative potiry. It shali be the responsibitity of the applicarit,
owner,occupant or user fio perform standard rt�airrtenance of tf�e sewer service line from the premises to the main including debris dearing or
root cutting and to mair+tain the water service curb stop box for operability and at such height as wiU ensure that it remains above fifie finished
grade ot the(and or property. (Ref 638,1156,1191j