Meter Swap ,
4
Request Number: 16219
Public Works Division
Service Request
Problem Address: 331 Hugo 5t Requested By: SteK,Storkacnp
Department: WATER Address: No address provicied
Problem/Issue: INSTALL AMR METER Phone Number: 612-723-7889
Sched e ate: 201 -07-OS Schedaled Time: 11:00:00
�
ACITON NEEDED: \'
Created by: Wendy Hiatt Date Created: 2017-06-30
ACTION TAKEN:
...._.�n��.�_._...��____.w ��- .
Status: In Progress Submitter Has Been r.
Contacted
Date Completed: �(�/��� Completedby: ��� ���„� o, ,
� ` -,..�.�,,�
� ?o� - ��� �����-�.�
. ' c��y o�F��aiey � -� �,�� �'-�.
Water pepartrv�ent
6431 Univers6ty Avenue NE
Fridley,MN 55432
?63-572-3566
��"Ve hereby authorize the City of Fridfey and/or its employees to do what is necessary to
replace the water meter, t understand tfiat the roperty owner is tiabie for the water line from the main to the premise and all interior
plumbing. (Per Crty code 402.06) i also hofd the Crty of Fridiey andfits employees harmless for arry damages that may occur while doing this
operation. This to inctude,but not{imited to valves,piping,walis,floors or the curb stop box and service line. In understand i am alsn required
to obtain a permit prior to any work,�f netessary.
FINAL METER READING(old meterj ��Z-�Z-��
Name• Address � J ( <' Vlb�O S'7'•
Phone Number p�
Signature Witness Signature
OLD METER# S30 Zg(O�
OLD READING_1_Q-,2..3�-00 _ _,_-___
- - �,
NEWM�ER# � OIII�NI��(alI �
:
NNIIINIa�I
� ��. �4935�5fi52 � ,�
NEW 4tEADING —T� ^ `. _ - '
ERT#� IIIII{IIIIIIIIIIIIIIII E
,'I_'I 72419155
-- . _ FR(DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 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�onnecting the existing muniapaf system and any house or building for which the
application is made,the owner or contractnr shat!be requiretl to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has i�een made,the Water and Sewer Department shall be notified. (t shall be untawful to cover
any conneding line untii an inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitabie connectio�.
402.06 REPAIRS APlD MAINTEAIANCE TO CON{YECTION
After the iniCia!connection has been rnade to the water service curb stop box or the sewer lead at the property line or a water se�lead has
been eutended to the property fine for connection,the applicarrt,owner,or occupant or user of wch premises shall he liable for all repa'srs
required ta any water fine and sewer lines necessary for connection of the premises from the main to the premises. if the property ow�er
requests maintenance service ar repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andJor
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the appiicarn,
owner,occupant or user to perform standard maintenanee of the sewer service line from the premises ta the main including debris ciearing or
root cutting and to maintain fihe water service curb stop box for operability and at such height as will easure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)