Meter Swap i
� Request Number: 15341
Public Works Division
Service Request
Problem Address: 160 Hartman Circle Requested By: Ngodup
Departmcnt: WATER Addreas: No address provided
Problem/Issue: INSTALL AMR METER Piione Number: 612-863-7985
5cheduled Date: 2017-OS-16 � Schednled'llmt: 1 l:OU:00
1
ACITON NEEDED: �
��,,_.,
Created by: Wen�iy Hiatt Dxte Created: 2U17-OS-15
AC"ITON TAKEN: �� �
_..._ �.�-��- __........__...�I� �`�-.______. ___._..______ �
Status: Tn Progress Submitter Has Been �..
Cos�tacted
Date Completed: Completed Uy:
�.� l�o-1.� ^T" ���
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� City of Fridley �/� � —
Water Department �� � � �12(.� �`1
6431 Urnversity Avenue NE � � � � L�
Fridley, MN 55432
763-572-3566 C��- (,,�3 '�
J
I/we hereby autfiorize the City of Fridley and/or its 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 all ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oc�ur 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 1 am aiso required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meterj G� � �� � O
Name• Address �1
Phone Number �V //^��� �-{�a� V' —��
Signature Witness Signature
OLD METER# � v �� "� �� `
OLD READING �I "J�� � v
NEW METER# `` ��� � r r�
NEW READING �
ERT# � � d� I �b � �
FRIDLEY CITY 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)
4d2.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer iine connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contractvr shall be required to obtain a permit for such connection,and shail pay a permit fce as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shaii be not�ed. it shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the wortc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property lioe or a water service lead has
been extended to the property line for connection,the applicatrt,owner,or occupaM or user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the p�emises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the CPty,the properly owner shall be charged for the costs of the mairitenance at►d/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occuparrt or user to perForm standard maintenance of the sewer service line from the premises to the main including debris 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)