Meter Swap Request Number: 15921
s
PUU�1C WOl'k5 D1V1S10II
Service Request
Problem Address: 560 Fairmont St Requested By: Jeannie
Department: WATER Address: No address�ovi�d
Problem/Issue: INSTAL.L AMR METER Phone Number: 763-218-8928
ScheduledDate: 2017-06-27 ,� 5chednledllme: 07:00:00
�_ ��
ACTION NEEDED:
Cre�ted by: Wendy Hiatt Date Created: 201 T-06-09
ACTION TAiCEN�
� ����
Status: In Progress Snbmitter Aas Been r
Coutaeted
Date Completed: � _a"]_ �� Completed by: �(L�
( �
�i#y o�Fridley ��O � ��l t V �l./'
. Wa�er De�art�eent
6431 t�niversity Avenue NE �71� �/,�y�
� Fridley,MN 55432 J" Y f�
763-572-356b
r�`Ne here6y authorize the City of Fridley and/or its employees to do wfiat is necessary to
replace the water meter. 1 understand that the pro�oerty owner is liable for the water line from the main to the premise and ali interior
plumbing. {Per Crty code 402.06) i also hold the City of Fridiey and�ts employees harmless for any damages that may occur while doing this
operation. This Yo indude,but not limited to valves,piping,walts,floors or the curb stop box and service line. In understand!am also require
to obtain a permit prior to any wor8c,if necessary.
FIPIA!METER READIAIG(old meterj � "v� `''v
Plame: �'��1,{rL�'1.6�'Q ,4ddress �`�.� ����O� 3}.
Phone Number ��.�^ ���^ � 1 ��J Date �� � ` — ��
Signatu Witness Signature �
OLD METER# _ ' t� � ��" �
OLD READING �v� v l C�
NEW METER# t������
NEW READlNG �
E!�'T# ���a�� ��O ,
FRIDLEY CITY CODE
CHAPTER 40Z.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(9tef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing a�repair of any water of sewer iine connecting the existing municipal system and any fiouse or building for which the
application is made,the owner or coritractor shall be required to abtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of Yhis Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
4A2.06 REPAIRS AMQ MAINTENANCE TO CONNECTION �
After the initial connection has been made to the water service curb stop box or the sewer lead at tfie properry line or a water service dead has
been extended to the property line for tonnection,the applicarit,owner,or occupant or user of such premises shail be liabte for alf repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests mair�tenance service or repairs be performed by the City,the property owner shail be charged for the casts of the maintenart�andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. !t shall be the responsibility of#he applicarit,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the(and or property. (Ref 638,1155,1191)