Meter Swap .
� Request Number: 16213
Public Works Division
Service Request
Problem Address: 676 Kimball St Requested By: Suzanne Egan
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 763-233-15y3
Sche ul Date: 17-07-OS Schednled 15me: 09:00:00
�
� � Qm
ACITON NEEDED: ,
Created by: Wendy Hiatt Date Created: 2017-06-30
ACTION TAI�N:
(inSf--a.11�e�l �evJ.........�1�!��_..�_.�.�n-k,n.c_o!�........�c�cic;�v..��__..._
._._....��_._._��..v�!.e-___.._._ ........__�_.._..._.._..........._........._...._.....__.._._._�____----- ___-__ _.
�
Status: In Progress Submitter Has Been r,
Contacted
Date Completed: '���/�—I Completed by: �Q� ���,rtp, ,
� _r.'
��p ...
�����; � ,� l
� Ci�y of Fridley � r �
, Water Department �� �-��
6431 University Avenue NE
Fridley,MN 55432
763-572-3565
i/we � hereby authorize the City af Fridiey and/or its employees to do what is necessary to
replace the er meter. I unde d that the property owner is liable for the arater line from the main to the premise and ali interior
plumbing. (Per City code 402.06J I also hold the City of Fridley and�ts employees harmless for a�ry/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 line. In understa�d 1 am also required
to obtain a permit prior to any wark,if necessary.
FINAL METER READING(old meterj 1 V1'��
Name: Address t�� �D �.l VN,�d�� �-
Phone Mumber p�
Signature Witness Signature
OLD METER# �Z I��-1�Q�p
OLD READING ��O I ( J�O ,_ _ _---------_
' II IIIIIIIIIIIIIIIIIIIIIII II ,
( Illlu
NEw M�r�R# 49355650 .
-_
NEW READING � . __
ERT# IIIII!!!lIIIIIIlIlIIII E
'I � 724'18475
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construcCing or repair of any water of sewer line connecting the existing municipal system and arry house or bui(ding for which the
app(ica#ion is made,the owner or contractor sha(t be required to obtain a permit for such connection,and shati pay a permit fee as provided in
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Departmerrt shail be notified. 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 Qty as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTEPIANCE TO CONNECTION
After the initiai connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the pro�rty line for connection,the applicant,owner,or occuparrt or user of such premises shali be tiable for all repairs
required to any water line and sewer lines necessary#or connection af the premises from the main to the premises. If the property c�wner
requests mairrtenance service or repairs be perFormed by the�ty,the property owner shall be charged for the costs of the maintena�ce and/ar
repairs,includin�necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the app(icant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris c�earing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191j `