Meter Swap �
:
Request Number: 16217
Public works Division
Service Request
Problem Address: 524 Fairmont St Requested By: Judy Svuanson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER ' Phone Number: 763-786-6977
Scheduled Date: 017-07-0 Sc6ednled 1ime: 10:30:00
' ` v:3a
ACTION NEEDED:
GYeated by: Wendy Hiatt Ds�te Created: 2017-06-30
ACIION TAI�N:
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Status: In Progress Sabmitter Has Been r,
Co�acted
Date Completed: �/5/�� Completed by: ���� �•`�y�n- ,
��
�� aC� �- �t� �� ( C� •�� �
� � �ity of Fridley
Water Department ��''; � j,.���/�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we � � � �
- hereby authorize the City oE Fridiey and/or its employees to do what is necessary to
rep ce the w er m er. 1 understand that the property awner is liable for the water line from the main to the premise and atl irrterior
plu bing. (Per City code 402.06� 1 also hold the City of Fridfey and/its employees harmless for arry damages that may occur white doing this
operation. This to include,but not limited to Valves,piping,walfs,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit pctor to any wark,if necessary,
FfNAL METER READING(old meter) �lU L.t'i�
Name: Address _ �'J2 `1 �,IYYY1.0 Yl'� s�•
Phone Number p�
Signature Witness Signature
OLD MfTER#�,V12..��CJO �' t� L��"J�`� ,
/_ � �
OLD RfADING ISJ���Z�� � � __ _ ________— -�-,.
EVEW MfTER#
! �IIIIINI��IINI��I��I IN '
� � 493556G8 � �
NEW READING — � _
E�#- IIIIIIIIIIIIIIIIIIiIII E
'! 1 724185'I 5
FRIDLEY CITY CODE
CHAP'CER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA'TION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191) �
402.5 PERMIT FEE
' Prior to constructing or repair of arry wa'��r of sewer line connecting the existing municipal system and am�house ur building fw which the
application is made,the owner or contractor shall be required to obtafn a permit for such aonnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has.been made,the Water and Sewer Departmerrt shalf be notified. It shail be uniawful to cover
any connecting line until an inspection has been made and such coonection and the work incident thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AWD MA(MTENANCE TO CONNECTION
After the initial connectio�has been made to the water service cur6 stop box or t6e sewer lead at the property line or a water service iead has
been extended to the property line for connection,the applicant,owner,or occupar�t or user of such premises shall be fiabte for afi repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. FF tbe prop�rty owner
requests maintenance service or repairs 6e performed by the�ty,the propeny owner shail be charged for the costs of the m��ntenance and/or
repairs,including necessary street repaits at a rate set annually by an administrative poiicy. It shall be the responsibility aF the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer senrice line from the premises to the main including debcis dearing or
root cutting and to maintain the water service curb stop box for operabilit}r and at such height as will ensure that it remains above the finished
grade aF the fand or property. (Ref 638,1156,1191j