Meter Swap ,
3 Request Number: 15871
Public Works Division
5ervice Request
Problem Address: 640 Fairmont St Requested By: Mark Anderson
Department: WATER Address: No address�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 215-252-0678
Scheduled- a : 2017-06-14 � Sc6ednled 11me: 10:30;0�
1
ACITON NEEDED:
•�
Created b� Beth Kondrick Date Crexted: 2017-06-08
ACTTON TAI�N:
� 5 � Gl�� Cz-�
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.._.._.............._______..................._......__.._...._..__..__.._.�._ ._._ _.-.�___ �.�_.____ .�.--..
Status: In Progress Submitter Has Been r
Cont�cted .
Date Completed: � � I� (� Completed by: y ���
'- J
�ity of Fridley
3a� - ����Z� � �3
Y Water Departanent ��� ��
� b431 University Avenue NE ��
Fridley,MN 5543Z
763-572-3566
�j`"�e hereby authorize the C�ty of Fridley and/or its empioyees to do what is necessary ta
replace the water meter. I understand Chat the properly owner is liabte for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) I aiso hold the City af Fridtey acxi/its employees harmtess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wa{Is,floors or the wrb stop box and senrice line. In understand i am alw required
to abtain a permit prior to arry work,if necessary.
FINAL METER READItYG(oid sneter) �,��(/�� �
Name• �V'"r` ���� Address __ lJZ�`t,V �Cll� �IV�C? � �.
Phone Number _JP— v15+ G�pare � —' �,�'�,"' ��
�y
ignature Witness Signature
OLD METER#__ � � i�p�� JV�/
OLD READING � 6 � V✓ � ✓ lJ
NEW METER# l�V�����
NEW READING �
ERT#_ � ��� ` ✓ / �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER APID SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Priar to constructing or repair of arry water of sewer iine connecting the existing municipal system and arry house or buiiding for which the
application is made,the ow�er or coatractar shall be required to obtain a permit for such connecCion,and shali pay a pecmit fee as provided in
Chapter 11 of this Code. After such connecCion has been made,the Water and Sewer Department shall be natified. It sha41 be unlawful to cover
any connecting line until an inspection has been made and such connection and the wo�lc incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS ARID MAINTEIVANCE TO COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for connecCian,the appficarrt,owner,or occupaM or user of such premises shal{be Ilabie for all repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the properLy owner shatl be charged for the costs of the maintenancQ and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the respansibility of the applirar�t,
owner,occupar►t or user to perForm standard mair�tenaace of the sewer service line from the premises to the main including debris dearing or
root cutting and�o maintain the water service curb stop box for operability and at such height as will enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�