Meter Swap �
` Request Number: 15842
Public works Division
Service Request
Problem Address: 574 Janesville St Requested By: Roger Johnson
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-268-991'7
Scheduled Date: 2017-06-2 Schednled 13me: 10:00:00
��'` I C�c�.rv�
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 201'7-06-07
A�ON TAI�N: � �
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y:
Status: In Progress Submitter Has Been r
Contacted
Date Completed: � � n 1 ` �� Completed by: r �,C�
Hours a�-aL J
,
City of Fridfey ✓'v� � '���� � �
Water Department � ���p'
6431 University Avenue NE � 6
Fridley, MN 55432
763-572-3566
I/we hereby authorize the Cty of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iriterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocxur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In understand i am also rec�uired
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(otd meterJ 1 v�� v " �
''"`�'� ���h,JV� Address � ` � /'f�p
Name• �fil.�l�,°V�j���/�t, 5��
Phone Number Vl��_OW/� — F F��p�e Vd` �a.�" �
�Signature Witness Signature �
OLD METER# ��� I � �"l, v
OLD READIIVG � �U� �� v
NEW METER# 1 � I� 1 � 1�
NEW READING �
ERT# � � VI � � ��
FRIDLEY CITY CODE
CHAI�TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Rlo 113,464,565,566,629,638,662,922,988,1144,1156,iZ9Zj
402.5 PERAAIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or corrtrador shall be required to obtain a permit for such conneation,and shaH pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. tt shafl be unlawfui to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C'ity as a
proper and witable connection.
d02.06 REPAIRS ANO MAINTENANCE TO COPiP1ECT10N
After the initial connection has been made to the water senrice curb stop boz or the sewer lead at the property Iine or a water sertrice lead has
been extended to the property line for connection,the applicant,owner,or occuparit ar user of wch premises shall be Itable for afl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the pmperry owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perForm standard maintenance of the sewer service Iine trom the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)