Meter Swap �
t
Request Number: 15868
Public works Division �
Service Request
Problem Address: 288 Liberty St Requested By: Mike
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: ?63-486-9059
Scheduled Date: 2017-06-27 Scheduled Time: 07:00:00
. 1��
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-08
ACTION TAI�N:
1 r�5�11 � t��--
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Status• In Pro�ess Submitter Has Been r
' Contacted
Date Completed: Completed by:
�„ - � � ' � '� �, ���-
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' City o#Fridley � �(�— �(3�� - �
Water Department 1�
G431 tJniversityAvenue NE ��F' �g��Cj
Fridley, MN 55432
763-572-3556
�/`Ne hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the rr�ain to the premise and all irrterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,wafls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
F1NAL METER READING(old meter) v��`� ���
Name• 1"1,.�tl'�.�� Address L-d�U (---��� �
Phone Number�� � ���� ate �� � ( `� ��
Signature i � � Witness Signature
OLD METER# � /�2-'C� � 1
OLD REAt71NG Z��Z� ��
NEW METER# � � j� �� ' �
NEW itEADINC; lJ
ERT# _� � �2-�C�.� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORNt WATER AND SANITARY SEWER
ADMINISTRATION
(fZef Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conneding the existing municipal system and any house or building for which the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department sha41 be notified. It shall be unlawful to cover
any connecting line unti!an inspection has been made and such connection and the work incident thereto has been approved by#he City as a
proper and suitabte co�nection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial 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 2xtended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines 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,#he 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 shall be the responsibflity of the app{icant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the rnrater service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)