Meter Swap , Request Number: 15714
F
Public Works Division
Service Request
�` Problem Address: 301 Liberty St Requested By: Kyle
�` Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-222-0464
Scheduled Date: _ 2017-06-23 � Scheduled Time: 09:00:00
��' r�-,
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-02
ACTION TAI�N:
�U`,�/,J-p`_ b�,� �-
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Status: In Progress Submitter Has Been r
Contacted
Date Completed:� � 2 3 s I� Completed by: (
Hours �' `��t���
�Caiy of Fr6dley " �� � � ��S �O '`� !
Water Departerae�t ���
.j 6431 l�niversity Avenue NE �/��2
�. Fridley➢ MN 55432 �
763-572-3565
+I1Ve hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
ceplace the water meter. (understand that the property owner is liable fo�the�rater 9ine from the anain to the premise and alt iriter6or
piumbing. �Per�City code 402.06) I also hoid the City of Fridley and/its employees harmless for any damages that may occur while doing this
operatiom, This to include,but not limited to vaives,piping,walls,floors or#he curb stop box arad service line. In understand 1 am also requirE
to obtain a permit prior to any work,�f necessary.
F6tVA!METER liEADfti11G(old meter) " " � ����
Name: I�-U �� Address � G--ib-er ��
P one Number ���`` �a-�.���1�� Date_��� �� �` � �
Signature ��� Witness Signature
OLD NlETER# �� � � " ✓ ��
OLD READ9NG `��` � ��
NEW METER#__�, _4�� � � C�
NEU4/ �EADING V
E��� � ���.�13 5 �
FR9DLEY CITY CODE
CWAPTER 402oWATER,Si'ORMI WATER AND SAN(TARY SEINER
ADMIN65�'RA�'90N
(Ref Ord No 113,464,565,566,629,538,662,922,988, 1144,1156,1191j
402.5 PERAAIT FEE
Prior to�onstruding or repair af any water of sewer line conneding the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this�ode. After such connection has been made,the Water and Sewer Department shall be rtotified. it shall be uralawful to cover
any connecting line until an inspection has been made and such connection and the work 9ncident thereto has been approved by the City as a
proper and suitable co�nection.
402A6 l2EPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connedion has been rnade to the water seryice curb stop box or the sewer lead at the property line ar a water service lead has
been extended Co the property line for connection,the app(icant,owner,or occupant or user of such premises shall be liable for alt repairs
required to any watec line and sewer tines necessary#or connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shatl be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding Jebris clearing or
root cutting and to maintain the wvater service curb stop box for operability and at such height as will ensure that it remains above the#inished
grade af the land or property. (Ref 638,1156,1191)