Meter Swap �
' Request Number: 15872
Public Works Division
Service Request
, Problem Address: 621 Hugo St Requested By: Dao
Department: WATER Addresa: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 952-288-9759
Schedaled Date: 201 -06-14 � Schednled Tlme: 02:00:00
rt.e.. l� ' �-
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-08
ACTION TAI�N:
_ I �,�..�-a,�.. ���'�-__ ____
.�� Status: In Progess Snbmitter Has Beee r
Contacted
�
Date Completed: Completed by:
C�, - ��� �`� � lOr-
�
�City of Fridley
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` Water Department ��
- 6431 llniversity Avenue NE ,s�� � �
Fridley,MN 55432
7E3-572-3566
��`Ne hereby authorize the City of Fridiey and/or its empfoyees 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�ity code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walts,floors or the curb stop box and service line. In understand 1 am also required
to abtain a permit prior to any work,if necessary.
FINAL ME7'ER READING(old meterJ ����� �V
Name: � Address_ � `^ � "r"la ��
Phone Number `�,��� �d�f�r 1�c� Date Y✓� V`��'r' �,�
�'Sif_g�ure Witness Signature
OLD METER# � � c� `"� J
�
OLD READING I � '"' � �"S� .�S�O(,,{,�� �
NEW METER#_'^t� L���I
NEW READING_V
E�-# � 222����
FRtDLEY CITY CODE
CHAP7'ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAl'ION
(Ref Ord No 113,464,565,566�629,638,662,92Z,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house ar buitding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connecCion,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connectior has been made,the Water and Sewer DepartmeM shall be notified. It shall be untawfui to cover
any conneding line until an inspection has been made and such connection and the wortc incident thereto has been approved by the C(ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC170N
After the initial connectios►has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shall be tiable for atl repairs
required to any water line and sewer lines necessary fo�connection of the premises from the main to the premises. tf the property oa►ner
requests maintenance service or repairs be pecformed by the City,the property owner shalt be char�ed for the costs of the mairrtena�ce and/vr
repairs,including necessary street repairs at a rate set annuaily by an admi�istrative 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 main including debris dearing or
root cutting and to mairnain the water senrice curb stop box for operability and at siach height as will ensure that it remeins above the finished
grade of the land or property. (Ref 638,1156,1191)