Meter Swap � Request Number: 12931
s
� Public works Division
Service Request
Problem Addres:: 1398 Fireside Dr Requested By: Brenda Wetael
Departmeot: WA1ER Addres:: No aidchess�ovided
Problem/Ia:ue: INSTAI,L AMIt METER P6oae Nnmber: 763-Z81-3046
Sc�ednled Ihte: 2017-01-26 Schcdaled Tlme: 07:30:00
�.''' `j'i
l,
ACTION NEEDED:
Created by: We�y Histt Ifate Cre�ed: 2017-01-18
ACTION TAKE:N:
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Stxtua: In Progress Snbmitter Ha�Been r.
Contacted
�xte Coeipleted: Completed by:
l- Z.,� � I� ! � �`�
�.o�/�s rrsa9ey
Water Departrnent ���-� ✓'���S �j�J - e3
6431 University�Avenue PIE
Fridtey,MN 55432 � � ��
763-572-3566 S� I �
1/we '
hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replaye the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. {Per City code 402.06j i also hold the C'rty of Fridley and/rts emptoyees harmless for any damages tfiat may occur while doing this
operation. This to include,but not lim�#ed to valves,piping,walis,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any worlc,if necessary.
FiNAL METER READING(olc[meter) �� v � � � �
Name• ���, "'" l.`')'Z.•`�,, Address i+J � t��S �
Phone Num�_���~�V l '� V L� Date ``�"`x-���
Signature YYitness Signature �`'
OLD METER# ������ �3 �in s ysfi�.,r w,� I,�cv� �o?o g9o3�
OLD READfNG 3 � o c� oa o
NEW METER# � 1 t ' �� � ✓
NEW READiNG �
E�# G���� � � `�� .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,988�1144,1156,1191�
4Q2.5 PERMtT FEE
Prior ta constructing or repair of any wate�of sewer line connecting the existing municipal system and arry house or bui(ding for which the
appl(cation is made,the owner or corrtractor sha(I be required to obtain a permit for such connection,and sha{t pay a permit fee as provided in
Chapter 11 of this Code. After such connection hes been made,the Water and Sewer Department shall be�otified. It shaii be unlawful to cover
any con�ecting line until an inspection has been made and such connection and the woric inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property iine or a water setvice lead has
been extended to the property line for connedion,the applicarrt,owner,or occuparrt or user of such premises shail be liable for all repairs
required to any water line and sewer lines necessary fer con�ection of the premises from the main to the premises. tf the property owner
requests main#enance service or repairs be perFormed by the C'rty,the properCy owner shail be charged for the costs of the maicrtenance anc!/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shatl be the responstbility of the applicarrt,
owner,occupant or user to perform standard mair�tenance of#he sewer service tine frorrti the premises to the main inctuding debris dearing or
root tutting and to mair�tain the water service curb stop box for operability and at such height as will e�sure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)