Meter Swap Request Number: 16307
f
. pI1�IC wOi�{S DiV1510II
Service Request
Problem Address: 461 Hugo St Requested By: Cecilia
Department: WA'IER Address: No address provic�d
Problem/Issue: INSTALL AMR ME1ER Phone Number: 651-755-1975
� �TUr� Z� U�e1-�.r U��v�e. fe�dac� m�,T
Scheduled Date: 2017-07-13 Scheduled Tlme: 11:30:00
� , � ���3
ACl'TON NEEDF.�:Tur�►off water at 11:30 so plumber can change valve at 12pm.Bzit�g AMIt wIttt to install when
you turn water back on.
Created by: Wendy Hiatt Date Crented: 2017-07-12
ACTION TAI�N:
. ,
�1'�fJ� d�__,.���C�. c�..L�T....__�...._.._ _____�.
........................................_._..._......___.____...._�...._I�S. �_.__._-r'��"��.---- __.__.._........._.._..__...._._
.........................................__.__._.-__...�...............'�.�...........�..��....�_.....�-. __.... . __.._....... ..__....__..._ _
Y���
Status: In Progess 5ubmitter HAs Been �.
Contacted
Date Completed: Completed by:
�" � 3� ��
��� - � ���� ~ � �
City o#Fridley � j ����i
Water Departrv�ent � �t�
,�-�
6431 University Avenue NE
. Fridley,MN 55432
7fi3-572-3566
��`Ne hereby authorize the Ctty of Fridley and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liabie for the water line from the main to the premise and all interior
plumbing. (Per Crty code 402.06) !also hold the City af Fridley andjits employees harmless for arry damages that may occur while daiog tfiis
operatio�. This to include,but not timited to vafves,piping,walts,floors or the curb stop box and service line. {n understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj ���� " _
Name• Address ` t 17� rT"�•'V
Phone Number D�. --� �..�
Signature Witness Signature
r
OLD METER# �v� � ( ��
OLD READING (p�� ��
NEW METER# l-1�.;J �EJ /IQ
NEW READING
E�#_ `l �L� � � �`�
FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT{ON
(Ref Ord No 113,4b4,565,�66,629,638,662,922,988,1144,1156,;1191j
4a2.5 PERMIT PEE
Prior to constructing oc repair af any water of;ewer I�ne connecting the existing municipai 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 shal!pay a permiCfee�provided in
Chapter li of this Code. After such connection has i�een made,the Water and Sewer Departmerrt shall be notified. It s�t��rnlawful to cover
any connecting line until an inspecCion has been made and such connection and the worfc incident thereto has been app�red�!y the City as a
proper and suitable connection.
402.06 REPAIRS APiD MAINTEIYANCE TO CONNECTION
After the initial connection has been made to the water service curb stap box or the sewer lead at the property{ine or a water ser�iae iead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. tf the property+�t�ner
requests maintenance service or repairs be performed by the City,the property awner shalt be charged for the eosts afi the ma;�nAf�and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibifity of the applica�rfr'=
owner,occupant ur user to perform standard mair�tenance of the sewer service line from the premises to the main includistig debris cleariii�g or
root cutCing and to maintain the water service curb stop box for operahility and at wch height as wii{ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j