Meter Swap }
, Request Number: 16091
Public Works Division
Service Request
Problem Address: 569 Janesville St Requested By: Don Taylbr
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-?80-9796
Scheduled Date: 2017-06-22 Scheduled 1lme: 09:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-21
ACIION TAI�N:
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__ .._.._......_.........._. ._ .__________ _.__ .�
Status: In Progress Snbmitter Hns Been r,
Co�ncted
Date Completed: (�_ � �} �_ I� Completed by: t '�
l0 0" J �
} City of Fridley " �D+ ��� ��-�
y Water Department �� , L �
6431 llniversity Avenue NE S "f��
Fridley,MN 55432
763-572-3566
��1Ve hereby authorize the C�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property ow�er is Iiabie for the water line from the main to the premise and all ir�terior
plumbing. (Per Crty code 402.06) 1 also hold the City ot Fridley and/its employees harmless for arry damages that may oca�r while doing this
operation. This to include,but not limited to valves,piping,walls,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 READIAIG(oid meterJ v � V� " �v
Name: �Q� ���/ �r Address_ �lY -i �(�k1,°LJ���� 1��� S��
Phone Wu ��J V�""���� Date �.(�"' � " `�
ignature Witness Signature `—
OLD METER# Y�� � ��� _
OLD READING ���� � `�V
NEW METER# � { �` `E/� ���
NEW READING O
ERT# � I �✓�O � � V
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
j,
402.5 PERMITFEE <'�w,,;�
Prior to constructing or repair of arn/water of sewer line connecting the existing mu�ipal system and arry house or buiiding for whith the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a perm�t fee as provided in
Chapter li of this Code. After such connection has been made,the W�er and Sewer Department shall be notified. R shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incider�t thereto has been approved by the C�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION � �:
After the initiai connectio�has been made to ffie water senrice curb stop box or the sewer lead at the property line or a water service(ead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shall be liabie for afl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged fo�the cos�af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the app(icant,
owner,occupant or user to perform sta�dard mairrtenance of the sewer service line ftom the premises to the main including debris cJearing or
root cutting and to maintain the water senrice 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'