Meter Swap .
Request Number: 16539
Public Works Division
Service Request
Problem Address: 5101ronton St Requested By: Gary Wilson
Deputment: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-784-1635
Sched ate: 2 7-OS-07 It Schedaled 11me: 02:00:00
�p�,
AC1�ON NEEDED:
Created by: Wendy Hiatt Date Crexted: 2017-(!8-Ol
ACTION T����I� ���\�
Status: Ix►Progress Submitter Has Been r,
Conitacted
Date Completed: �1 � � -- �� Completed by: ��t/ ,,�p
l,l ��! ��.,t�
� " �'������'�� .�r�' 9�- 5/�s�"�I"/
r����r�e�a����t S l� 5�1 I
5431!�r►aaersity Avenue NE
Frdd(�ey,MN 55432
7C3-572-35fi6
t/we hereby authorize the City of Fridley and/or its em�oloyees to s!o aArhat is necessary to
rep�ace the water meter. !understand that the property�awner is iiabie for the water line from the main to the premise and ail ir�terior
plumbing. (Psr�C'ity code�02.06) 6 also hold the City of Fridley and/'tts employees harmtess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service iine. In understand I am also require
to abtairt a paermit prior to any�rork,if necessary.
FlPtAI METER READIRIG(oid meterj ��V �� � �
Name:�V�.�'� 4�1��J� Address _ ,� 1 V �� ��. J'�
Phone Num � J� V � �Q �� �^ Z�
kSignature Witness Signature
/ "
�LD METER# � "� � 1��
OLD READING �� v� I �D
NE4V METER# U `�/ � V � �
NEW RfADifVG �
ERT# l� �� �� �l�'
FRIOLEY CITY CODE
CHAPTER 402.WATElt,STORM WATER AND SANITARY SEWER
ADMIMISTRAT{ON
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to�onstructing or repair of any water of sewer line connecting the existin�municipal system and arry 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 DepartmeM shall be notified. tt shait be unlawful io cove�
any coanecting line untit an inspectiort has treen made artd such cortnection and the worfc inaderrt thenefio has been approved by ti�e Crty as a
proper and suitahle wnnection.
402.06 REPAIRS AND MAIAITENARICE TO COAtNEC170N
After the initiai connection has been inade to the water seniice cur6 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 applicant,awner,or occuparrt ar user of such premises shall be liable for a(t repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. If the groperty owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairttenance artd/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the respor�sibility af the appilcarrt,
owner,occupant or user to gerForm standard maintenance of the sewer service line from the premises to the main inc(uding debris ciearirtg or
root cutting and+to maintain the water service curb stop box for operabil'ity a�d at such height as wiil ensure that it remains above the finished
grade of the tand ar property. (Ref 638,1156,1191j