Meter Swap .
Request Number: 16028
Public works Division
Service Request
Problem Address: 544 Fairmont St Requested By: Aimette
Department: WATER Address: No ac�ress p�ovided
Problero/Issue: INSTALL AMR ME1ER Phoae Number: 763-300-9520
Scheduled D�te: . 2017-06-2� Schednled 11me: 08:30:00
S �`
ACTTON NEEDED:
Cre�ted by: Wendy Hiatt Date Creaked: 201'1-06-16
ACTION TAKEN:
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Status: In Progress 5ubmitter Haa Been r
Contacted
Date Compteted: Completed by:
� �24-11 —7—'� �or
, �ity o#Fridley �(/p — �d �✓� ���
Water Department
' S431 UniversityAvenue NE S� � ��,'6
Fridley,MN 55432
763-572-3566
��`A/e hereby authorize the Crty of Fridley 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 interior
piumbing. (Per City code 402.06J t atso hotd the C'rty of Fridtey and/its emptoyees harmless for any damages that�nay occur whiie doing this
operation. This to include,but not limited to val�es,piping,walis,floors or the curb stop boz and service line. in understand t am also required
to obtain a permit prior to arry work,if necessary.
FlNA!METER READING(oid meterj ���� �V �
Name• ''�r���fii t/ Addrtss_ J �1� ��r���JV�, �
Phone Number\��' '� `�� Date '� '�� 1
Signature _ Witness Signature
OLD METER# v ,�I ��J �
OLD READlNG�V�� FZ��
NEW METER# `"7"I f�1,•CQ� �
NEW REQDIMG l.�'
ERT# �2�� �a�o
FRJDLEY ClTY 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 connecting the existing municipal system and any house or building for whith the
apptication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a pennit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified It shall be unlawful to cover
any connecting line urrtii an inspection has been made and such connection a�d the work incident thereto has been appro+�ed by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEPIANCE TO COPINECTION
After the initia(connection has been made to the water service curb stop borc or the sewer lead at the property(ine or a uvater service lead has
been extended to the property line for conneetion,the applicant,owner,or occupant or user of such premises shall be liabie for ail repatrs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perfo�med by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annuaUy by an administrative poliry. !t shall be the responsibility of the applicam,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. {Ref 638,1256,1191)