Meter Swap f
' Request Number: 15444
Public Works Division
Service Request
Problem Address: 125 Hartman Circle Requested By: Kay �
DepArtment: WA1ER Address: i�10 address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-205-4104
Sc6edoled e: 2017-OS-24 � Schednled Time: 07:00:00
ACTION NEEDED:
Created by: Wendy Hiatt Date Crented: 2017-OS-18
ACIION T
i V�� • 1 �' 1�
Status: In Progress Submitter Has Been r,
Cont�ted
Dste Completed: Completed by:
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City of Fridley ��� -� �b�a 3� �V�
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Water Departrnent
6431 University Avenue NE �� � ,t�� �
Fridley,MN 55432 �'r
763-572-3566
ijwe hereby authorize the City of Fridiey 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 irrterior
plumbing. (Per City code 402.06) I also hold the City of Fridiey and/its empioyees harmless for any damages that may occur while doing this
operation. This to indude,but not limited to aalves,piping,walts,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING(old meter) �� � ���
Name: �� Address � �� ���� �'�
Phone Number /� J� '�`�'� i fV /pate � � `�`�
Signature Witness Signature
OLD METER# �� > �J ��� (
OLD READING ����"��
NEW METER# �� L`� � �
NEW READING_ �
ERT# / Z�" I E��V
FRtDLEY 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)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shail be uniawful to cover
any connecting line until an inspection has been made and such connection and the wortc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial con�ection has been made to the water service curb stop box or the sewer lead at the property line or a water servk.e lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water Ilne and sewer lines necessary for connection of the premises from the main to the premises. ff the properly owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administretive poliry. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard mai+�tenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remaios above the finished
grade of the land or properly. (Ref 638,1156,1191)