Meter Swap M ' Request Number: 15638
Public Works Division
Service Request
__ _ ___ .
Problem Address: 305 Liberty St Requested By: Darrell
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-386-4824
Schedul ed Date: 2017-06-13 Schedul ed'Iime: OS:00:00
� " i 3�` ��..Y
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-31
ACTION TAI�N: �
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Status• In Progress Submitter Has Been r
� Contacted
Date Completed: "j Completed by:
�- i3�- � , �,��e,
�Ciiy�Fr6dley
�a��r��pa��,��� ��� - ����ya - �.�
` � 6431 lJniversity A�renue NE �"
Fro�ll�y, MN 55432 J�� ���
7fi3-572-3565
ij'i°� hereby authorize the City of Fridley and/or its employees to sfo what is necessary to
replace�he water meter. (understand that the�roperty owner is liable for the inrater line from the main to the premise and alt irnerior
plumbing. (Per�ity code 402.06) i also hold the City�of Fridtey andJits employees harmless for any damages that inay occur while doing this
operatio�n. This to inctude,but not limited to valves,piping,walls,floors or the curb stop box and service line. tn understand t am also requirf
to obtain a permit prior to any wortc,�f necessary.
F9tiVA!ME'�€R READiNG{oid meterj � �� � `� �
Name: _ ���'�� �c�,�(`t,� � Address ��� ���rr�� S1—.
Phone Alumber � ��•�' 3�— t U�- t Date _ l.�" � ` �� .
Signature��.J �-� � r Witness Signature
��D �E���� �.5 3�G� �3
OLD READ�NG "' ��C�a
IV�1N NIETER# ����aC � � ` �
PIEW �EADINC'i �
E��# �� ��5a�S
FRIDLEY CITY CODE
CHAPTER 402.iNATE9i,Sl'�RM VI/ATER AND SANITARY SEVI/ER
ADMINlS�'RATION
(Ref Ord No 113,464,565,566,F29,638,662,�22,988, �.144, 1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existi�g municipal system and any house ar buifding for which the
application is made,the owner or cantractor 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 shalt be notified. It shall be untawfut to cover
any connecting line until an inspection has been made and such connection and the worfc incident thereto has been appro�ed by#he City as a
proper end suitable connectiort.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial con�ection has been�nade to the water service curb stop box or the sewer iead at the property line or a water service lead has
been extended to the property line for connection,the appllcant,o�.vner,or accupant or user of such premises shall be tiable for all repairs
required#o any water line and sewer tines necessary for 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 awner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an admirtistrative poliry. It shall be the responsibitity of the applicant,
owner,occupant or user ta perform standard maintenance of the sewer service line from the premises to the main incluciing debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the fand or property. (Ref 638,1156,11918