Meter Swap i�
,,,� �z � �
� ��? - Request Number: 15875
'� � ��
� � �
� S� ��� Public Works Division
���'I�� s� Service Request
� 1 �
Problem Address: 654 Janesville St Requested By: Carol Kalan
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME1�R Phone Number: 763-786-6081
Scheduled Date: 17-06-21 Schednled 1Ime: 09:00:00
( � ZGc.rv�
ACTION NEEDED:
Created by:.�� Wendy Hiatt Date Crested: 2017-06-08 '. ,�,
�,�
AC1ION TAI�N: �`�
............_....._._..._..__ _ _...... .........__.............. ^�_..__..............._.._.._.._..._........____....._._........_............._._... .._....._.�... .
�''" �/
�V�''�(J�0'� W�'Cts�2. 1�D '�.t�-�—�_....��..1
_._....._____.._....._._____�.������_....__.A��.._ ....._.:.:............._.......__...__ �....__..._..._.._.....___.__ __
;,
__...._:Y._...._.......___._..___._._..._._...._.....__._.....__� ._____.__...______._......__.___._...._.._________.___._ __._ ..__�_._
Status: In Progess 5ubmitter Has Been �...
Contacted
Date Completed: Completed by:
� �� 1~�� �
.
Ci#y of Fridley 3`0 _ �-r 2�Z� --a r
. Water Departrnent c� � �/���
6431 University Avenue IYE J �f
Fridley,MN 55432
763-572-3566
��°"�e hereby authorize the Crty of Pridtey and/or its emptoyees 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 interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmtess for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand!am also required
to obtain a permit prio�to any work,if necessary.
FIPIAL METER READIMG(old meter �� ��� �
)
Name• Address l�c� 1 v��U� 1i�
Phone Number p�, �—�,���
Signature r Witness Signature
� e
OLD METER#
17 �
OLD READING �O� �� O��C'
NEW METER# � I U� IQ��,�j .
NEW READING_��
ERT# `l� S t �J�.S.�.
FRIDLEY CITY CODE
CHA(�TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(ttef Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,i191)
�402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipal system and any house or buiidirig for which the
application is made,the owner or contrador 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 Department shali be nat'rfied. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
�02.06 REPAIRS AND MAINTENANCE TO CONNECTIOPI
After the initial connectiort has been made to the water ser�ice curb stop box or the sewer lead at the property line or a water service tead has
been eutended to the property line for connectio�,the applicarrt,owner,or occupant o�user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary#or conneetion of the premises from the main to the premises. tf the properly owner
requests mairrtenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance a�d/or
repairs,inciuding necessary street repairs et a rate set annually by an administrative policy. It shalt be the responsibility of the appiicant,
owner,occupant or user to perform sta�dard maintenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water service wrb stop box for operability and at such hei�ht as will ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191j