Meter Swap j
� Request Number: 15727
Public works Division
Service Request
Problem Address: 8131 Fairmont Circle Requested By: Priscilla Mackey
Department: WA1ER Address: No address provided
Problem/Issue: INSTALI,AMR METER Phone Number: 763-786-8049
Scheduled Date: 2017-06-06 Scdednled'Rme: 09:OU:00
� U�
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-02
ACTION TAI�N:
........__.._�'I�,,��,�+:`...._......._..���..____....__......_.._...._..._..__...._...........____._..__ .__ ._ ....._.____.- ___..�_..._._
Status: In Pro�ess Submitter Has Been r
Contacted
Date Completed: Com�eted by:
.lO��— �� � �1�
�
�ity o��ridBey 'a/"'b �v� "t �C V � !
, Wa�er Departrvtent `
, b431 llniversity Aereroue NE � � �t' 1 C�
Fr6dley,MN 55432 ��
763-572-3566
i/we hereby authorize the Crty flf Fridtey and/or its employees to do what is necessary to
replace the water meter. 6 understand tfiat the property owner is liable for the water line from the main to the premise and ali irrter�or
plumbing. (Per C'rty code 4Q2.06) t also hoid tfie City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. '!'his to indude,but not limited to vatves,piping,waNs,ffoors or the curb stop box a�d senrice line. in understand t am also requir�
to obtain a permit prior to any worlc,if necessary.
F{NAL METER READING(o1d rrreter) � � ��`� v�+'
Name: _�r'Y�1�( f/� � Address � �./��
Phone Number ���►�"�� pate �{ 1
.
Signat e Wttness Signature
OLD MIETER# 2� `"L� � ��
oi.o R�Ao�NG �b����
NEW METER# f-I�Z�" i y� �
NEW READING �
E�RT'# �� VV� JQ�
FRIDLEY CITY CODE
CHAPTER 402.WATER,ST�?RM WATER AND SANITARY SEWER
ADMIN6STRATiON �
(Ref Urd No 113,464,565,566,629,638,662,922,988,1144,1156,I191j
402.5 PERMIT FEE
Prior to constructing ar repair flf any water of sewer iine connecting the existing municipal system and arry house ar 6uilding for which the
application is made,the owner or corrtrador shal!be required to ob�tain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this�ode. After such connectiort has been made,the Water and Searer�epartmerrt shall be not�ed. it shail be unlaarful to cover
any connecting line until an inspection has been made and such cannection and the work incident�hereto has been approved 6y the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COP(NECTION
After tt�e initial connectiort has been made to the water service curb stop box or the sewer lead at the property tine ar a water senrice lead has
besn extended to the property line for sonnecfion,the app(iqnt,owner,or occuparit or user of such premises shall be liable for alt repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. tf the property owner
requests mairstenance service or repairs be performed by the�ty,the prvperty owner shali be charged for the costs af the mairrtenance and/vr
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shail be the responsibitity of tt�e appl(cartt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main inciuding debris dearing o�
root cutting and#o mairrtain the water sersice curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade af the land or property. (Ref 638.1156,1191)