Meter Swap ,
� Request Number: 16052
Public works Division
Service Request
Problem Address: 583 Lafayette St Requested By: Mr Ellis
Department: WATER Address: No address p�ovided
Problem/tssue: INSTALL AMR METER Phone Nnmber: 612-490-7516
Scheduled Dxte: 2017-06-21 5chednled'11me: 01:30:00
2l S' /"3 C�
ACTION NEEDED:
Crented by: Wendy Hiatt Date Created: 2017-06-19
ACITON TAI�N:
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Status: InProgress Snbmitter Iias Been r
Contacted
�Dxte Completed: ,�� Completed by:
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. City of Fridley �D � , /7(''�
Water Department �� a
` 6431 University Avenue NE
Fridley,MN 55432
7C3-572-3566
��`"�e hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace tfie water meter. i understand that the property awner is liable for the water line from the main to the premise and ali im:erior
plumbing. (Per City code$02.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur whtie doing this
operation. This io include,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. in anden�tand 1 am aiso required
to obtain a permit prior ta arry work,if necessary.
FINAL METER READING(oid meter) O��v �� �
Plame• ' `'�� ��'��'S Address J t�c� l—�l,y-'�'i�t'�-- t��
Phone Number �!/ i�`� �`_ r����� p� �p'� �
�Signature Witness Signature
OlD METER# VO O � `"1 c� r�
OLD READING _ O��3���
NEW METER#_�`l 1��� VO�
NEW READING_�
ERT# ������`./�
FR(DLEY CITY CODE
CHAPTER 402.WATER,ST�RM WATER AND SAMITARY SEWER
ADMINIS7RATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair af arry water aF sewer line connecting the existing municipal system and arry house or building for which the
appl�cation is made,the owner or contractor shall be required to obtain a permit for such connecCion,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and 5ewer Departmeirt shali be notified It shall be unfaarful to cover
any connecting line unti{an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectiort.
402.06 REPAIRS AND MAfAI'i'ENANCE TO CONWECT10Ai
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service iead has
been extended to the pr4perty line for connection,the applicant,owner,or occuparrt 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. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�tenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shail be the responsibility of the applicant,
owner,occupant oc user to perform standard mairrtenance of the sewer service line from the premises to the main inclucfing debris dearing or
root cutting and to mairrtein the water service curb stop box for operability and at such height as will ensure that it remains almve the�nished
grede of the land or property. (Ref 638,1156,1191j