Meter Swap �
Request Number: 16055
Public Works Division
Service Request
Problem Address: 563 Janesville St Requested By: Judy Hamm
Department: WATER Address: No address provided
Problero/Issue: INSTALL AMR METER Phone Number: 763-283-9682
Scheduled Date: 2017-06-2 .�,` Sc�L J ed'11me: 08:30:00
� �
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-19
ACTION TAI�N:
Statns: In Progress Snbmitter Haa Been r
ContActed
Date Completed: Completed by:
� ( d - S �2 SSd-�2
. �i#y of Fridley �
Water Department ��� , r�dG
6431 Universifiy Avenue NE �'E � �
Fridley,MN 55432
763-512-3566
1/we �t hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water r. 1 understand that the property owner is liabte for the water line from the main to the premise and ali ir�terior
piumbing. (Per C�ty code 402.06) I also hold the City of Fridley a�drts employees harmless for any damages that may occur whii2 doing ihis
operation. This to include,but not limited to valves,piping,walts,floors or the curb stop box and service line. in understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(otd meterj � l��� G V
Name:�,(�, Address a, ` '� ,
Phone Number p� �.p� ��
Signature Witness Signature
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OLDMETER#_���� i�3 /
O!D READING I 1 aq�9a
NEW METER# �I�D��pZ�� � ��
NEW READING O
ERT# �02���0 .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS?RATION -
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipai system and arry house or build�ng for which+ihe
application is made,the owner vr corrtractor shall be required to obtain a permit for such connection,and shall pay a perm�t fge as provided Pn
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shail be notified It shall be un�awful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Ciry as a
groper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECT{ON -
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 service lead has
been extended to the property line for connection,the applicant,owner,or occuparrt ar user af suc�premises sha{{be liable for aN repairs
required to any water fine and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance senrice or repairs be performed by the�ty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall6e the responsibility of the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main including debris clearing o�
roo#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 afi the land or property. (Ref 638,1156,1191'