Meter Swap �
� Request Number: 16008
Public works Division
Service Request
Problem Address: 668 Kimball St Requested By: Tara
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nmnber: 763-443-9357
Scleeduled Date: 2017-0 21 Sc6ednled'Iime: 07:00:00
� S�
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-I S
ACIION T.AI�N:
. Status: In Progress Submitter H�s Been �..,
Contacted
Date Completed: Completed by:
�'
���y o��r�a�ey
� �o - St3o�lDrd �
Water Dey�art�eent S U � `7 �
' �431 l�niversity Averaue IVE ? ,2
' Fr6d9ey,IVV�N 55432
763-572-3556
�,We �`�/�� C° �Z Z,�.'��(,�
hereby authorize the Ciiy of Pridtey and/or its employees to do what is necessary to
rQplace the water meter. t s�nderstand that the pro�oerty owner is liable for the water line from the main to the premise and a(i iMerior
plumbing. (Per�C'rty sode 402.06) 1 etso hold the Cifi�of Fridiey andPts empioyees harmtess for any damages that rnay oaur while doing this
operatian. This Lo include,but not limited to vabes,piping,walis,floors or the curb stop box and service line. in understand I am also requirE
to obtain e permit prior to arry work,if necessary.
FINAL METER READING(otd meter) O v`O `��
Plame: Address_ � / / ��"�, ��Zu �j��
Phone 9Yumber�! �"�/ ��=�-L.��]��,��a��j�
Signature Witness Sigrtature
o�.0 nner�R� _a��b . �7�`
OLD READlNG_ �`U��U �7�a
1�tE1N METER# -1��7�v2��j�
NEW READlNG �
Et�'# �fqal3�lq
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORMI WATER AND SANITARY SEWER
ADMINISTRATION
(�tef Ord Plo 113,464,565,566,629,638,662,922,988,11A�4,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa(system and arry house or lwilding for which the
apptication is made,the owner ar contractor shaft be required to obtairt a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Cade. After sucfi connection has been made,the Water and Sewer Department shall be notified. It shall be untaarful to cover
any connecting line untif 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.
d02.06 REP+41R5 AND MAINTENANCE TO CONNEC170N
After the initiat connection has been made to the water service curb stop box or the sewer lead at the properly line or a water senrice(ead has
been extended to the property line for connedion,the app(icarrt,owner,or occupant or user of such premises shall be liable for all repain
required to any water line and sewer lines necessary#or conneetion of the premises from the main to the premises, tf the property owner
requests mairrtenance service or repairs be performed by the�ty,the property owner shati be charged for the cas�of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibii'rty of ihe appl�cant,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting end to maintain the water service curb stap box for operability and at such height as will ensure that ii remains above the flnished
grade af the(and or property. (Ref 638,1156,1191j