Meter Swap � �
.$�
,, C.rt'pl
Ftidtey
Request Numb�r. 17562
Pubi[c Worka D[vi�ton
Service R,eque:t
�roMem Addresa: ?843 Firvwod Way Reqnestai By: Michellc
Departt�eet: WA1ER Ad�ee�: No addrass provide$
Problem/Iasne: II�15TALL AMR METER Pho�e Nnmber: 763-'777-2206
ScLeduled Ihte: 2018-01-17 � Se6e��d 1lse: 02:00:00
I�Z r-,�-�
ACIION NEEDED:
� y���:�
Cre�ed by: Wetdy Hi�tt Date Created: 2018-01-1 I ;
ACIION TAKEN:
.—. _
_1-.!%�.5���t° � _ s�`�.,.._._��-��—
_ _
St�us: In Progress 5abmiEter Hs�Been r,
Coet�eted
Date Completed: ,„ �� � �a Completed hy:
�� �a tc�e
.
�.
� City of Frid{ey �()� -- `�D� ��� ` � '
Water Department �
6431 University Avenue NE n
Fridley,MN 55432 S� �j" "1�
763-572-3566
I/we hereby authorize the City of Fridley and/or iu 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 aN iMerior
plumbing. (Per City code 402.06) I also hoid the City of Fridley and/its employees harmless for arry damages that may o�r while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtaie a permit prior to arry work,ff necessary.
PlNAL METER READING(old meter) ��"" ���
Name: Mr�ihe b�� Address � � � �'W
Phone Number�,�0�"' �"' �ate � J � l `� �V
-r._ "
�Signatu e Witness Signature "'�—
OLD METER# y v 1'� ���1, SIZE & STYLE(Circle)
OLD READING �� { �� 5/8" HEX
NEW METER# ! � 1�� �� 1 ln HEX
NEW READING "' I�4" ELIPTICAL or HEX
ERT# � V �(/" � v �.J � 2" ELIPTICAL or HEX
FRIDLEY Cfi'Y 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 PERM{T FEE
Prior to constructing or repair of any water of sewer line connecting the ex(sting municipal system and any haise or buildir�for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shafl pay a pernnit fee as provided in
Chapter li of this Code. After such connection fias been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and wch wnnection and the work incident thereto has been approved by the�ty as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service wrb stop box or the sewer lead at the property line or a water sen�ice lead has
been extended to the property line for connection,the applipnt,owner,or occupant or user of such premises shall6e liable for all repairs
required to any water line and sewer lines necessary for con�ection of the premises from the main to the premises. if the property awner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shail be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debrls 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 of the land or property. (Ref 638,1156,1191)