Meter Swap �, Request Number: 15887
` Pubfic Works Division
Service Request
Problem Address: 666 Hugo St Requested By: Doug Cloutier
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-6651
Scheduled Date• 2017-06-i Scheduled Time: 08:00:00
�l� �Q/�
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-08
ACTiON TAI�N:
� �.5��I � �(2-.
:� .....................� . . _ __...___._._......_.__............_______._._...........__.._..._.___.__ ______
Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
� - 1�- I� �"' �r
�
���,of��;drey �ag- �ll 1�� �-a �
Water Department
�4 6431 lJniversity Avenue NE �� �. 'L!.��
Fridley,MN 55432 ���
• 763-572-3566
��We hereby authorize the City of Frid(ey and/or its employees to do xrhat is necessary io
replace the water meter. 1 understand that the properly owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hotd the City of Fridfey and/its empioyees harmiess for any damages that may occur while doing this
operation. This to include,6ut not limited to valves,pipin�walls,floors or the curb stop hox and service line. In understand!am aiso required
to obtain a permit prio�to any work,if necessary.
FINAL METER READiTIG(old meter) i�� �� ��O
Name: _��� ���� Address �J� � �
Phone Numb l� —�(>`���Vv✓�Date �r 1—`� �
�i nature Witness Signature
OLD METER# ���� ' � �
OLD READING �� O I ��Q
NEW METER# � � ����� �j
NEW READING D
E�# �l 22-2`� 2�(,�
FRIDLEY CITY CODE
CNAPTER 4U2.WATER,SfORM WATER AND SANITARY SEWER
ADMI11tISTRATtON
(Ref Ord No 113,464,565,566,629,63$,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constcucting or repair of any water af sewer fine connecting the existing municipat system and any house or buiiding for which the
appiication is made,the owner or contractor shatl be requi�ed to obtain a permit far such connection,and shati pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartmer�t shall be notfied. It shall be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitable connectiort.
402.06 REPAIRS AND MAINTENANCE TO CONNECTtON
After the initial connection has been made to the water seroice curb stop box or the sewer lead at the property line or a water serv(ce tead has
been extended to the property line for connectio�,the applicant,owner,ar occuparrt or user of such premises shall be liable fior all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mainte�ance service or repairs be performed by the City,the property owner shali be charged for the costs of the mai�rtenance and/or
repairs.including�ecessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer senrice line from the premises to the r►�ain 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 tbe land or property. (Ref 638,1156,1191)