Meter Swap � Request Number: 16221
Public Works Division
Service Request
Problem Address: 571 Lafayette St Requested By: Dave Moran
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Nnmber: 763-795-0400
Scheduled Date: 2017-07-06 .�,.� �Schedaled 1ime: 02:00:00
M
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-30
ACIION TAI�N:
��..'.��'._.A.__�'_�_.._........���...........__..___.._. ___._._____
Status: In Progress Sabmitter Has Been r,
Contacted
Date Completed: Completed by:
7- � -�� � ��--�
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� City of Frid6ey S�� i � ��
,
Water De�sartmeort T �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��`"�e hereby authorize the City of Fridiey and/or its employees to do what is necessary to
repiace the water meter. i understa�d that the property owner is liable for the water line from the main to the premise and alt interior
plumbing. (Per C�ty code 402.06) 1 also hold the City of Fridley andrts empioyees harmiess for arry 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 undersfiand i am alsa required
to abtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) �� �� ��
Name: '' Qi Address ��� �� �j ��
0
Phone Number������� p�e -� '
^ ' Signature Witness Signature
OLD METER# ��d����
OLD READING O� �v �O
NEW METER# `"1,� J� ���
NEW READING�
._.
ERT# � �'1 ' ��7`�-� 1
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
�4DMINISTRATION
(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 any water of sewer line connecting the existing municipal system and arry house or bui(ding fo�which the
appiica#ion is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shail be notified. it shall be unlawfui to cover
any connecting line until an inspection has been made and such connection a�d the work incident thereto has been approved by the Clty as a
proper and suitable connection.
402.06 REPAIRS AND MAIPITENANCE TO CONNECTION
After the initial connection 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 property line for connection,the applicar�t,owner,or occupant or user of such premises shall be liable for all 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 mairrtenance service or repairs be perFormed by the City,the property owner shali be charged for the costs of the mairKenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility aF the applicant,
owner,occupant or user to perforrn standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water seroice curb stop box for operabii"�ty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)