Meter Swap � . ' Request Number: 12927
Public works Division
Service Request
Problem Address: 1377 Fireside Dr Requested By: Thomas Sontag
Department: WATER Address• 137�Fueside Dr
Fridlay,MN35432
Problem/Issue: INSTALL AMR METER Plrone Number: 651-283-8904
Sc6eduled Date: 2017-U1-27 Schednled 11me: 01:00:00
1 � �
ACIION NEEDED:Install AMR
Crented by: Beth Kondrick Dnte Created: 2017-01-17
ACIION TAI�N•
.
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Status: In Progress Submitter I�ias Been �, .
Contactcd
Date Completed: � � �, ' 1� Completed by: 1 al, ,,
'lJ If"�.,
e.o�/or t-r�aoey r Q
Water�3e�sartment ��� r J� t7 ✓��� y��'
6431 lDniversity/Avenue 6YE
, K Fridfey, MN 55432 � �
. 753-572-3566 �� �1
��W� hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the wafier meter. I understand that the property owner is liabie for the+nrater line#rom the main to the premise and all isrterior
plumbing. (Per City sode 402.06) I also hold the City of Fridiey and/its employees harmless for any slamages that may occur while doing this
operation. This to inciude,but not lim+ted to valves,p�ping,wal{s,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any wo�,if necessary.
FIAIAL METER READING(old meter) " � � ��"' v
Name:�V�41�`7 �v CY�n� Address � ✓� � �ti�°.71�� �r'
Phone Nurlfber CD 5�'-Zii=�'� O 1�� Date � � � ` � � `
Si nature �—
� Witness Signature
oio nner�R#�.I 2D g 53v ���
�l� � �l C9 a ����
OLD READlNG_ � �
NEWMETER# _ IV � b� �� 7 �
NEW READtNG �
ERT# � � � � a � � 8
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANITARY SEWER
ADMIAIiSTRA►TION
�Ref Ord No 113,464,565,5t�,629,638,662,922,988,1144,li5b,1191)
402.5 PERMi7 PEE
Prior to wnstructing or repair of any water of sewer line connecting the existing muniapai system and arry house or build�ng for which the
apptication is made,the owner or corrtractor sha(I be required to obtain a permit for such connection,and shalt pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water ar�d Sewer Oepartmerrt shalt be c+atified. !t shail be un{awfut to cover
any connecting line until an inspection has been made and such wnnection and the woric inciderrt thereto has been approved by the Cdy as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO COAINECTION
After the initial connection has been made to the water senrice curb stop box or the sewer tead at the property Itne or a water service lead has
been extended to the property tine for connection,the appiicarit,owner,or accupant or user af such premises shall be liable for all repairs
required to any water line and sewer lines necessary for cannection of the premises from the main to the premises. If the property owner
requests maintenance senrice or repairs be performed by the City,the property owner shali be charged for the costs of the malrrtenance and/or
repairs,including necessary street repairs at a rate set anr►ually!�y an administrative poliry. It shaN be the responsibii'rty of the applicarrt,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main iociuding debris clearing or
roofi cutting and to maintain the water service curb scop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)