Meter Swap ,
` Request Number: 15549
rut��wo�n;��on
Service Request
Problem Address: 240 Longfellow St Requested By: Jessica
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-710-5230
Scheduled Date: 2017-OS-31 Scheduled'ISme: 07:00:00
ST M
ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-24
ACTION TAI�N:
,
--�
�
...................................................................._��ti.._�....._�:..............................._�._4�._1�...............................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
Status• In Progress Subtnitter Has Been r
� Contacted
Date Completed: ����` (� Completed by: `n t�, �
J��-v--
�
, City of Fridley 3 // � s ' � � �O r-� �
• Water Departrnent �
6431 tJniversity Avenue NE �� � ��� �
Fridley,MN 55432
763-572-3566
i/we hereby authorize the Cty of�ridley and/or its employees to do what is necessary to
reptace the water meter. t understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur whi(e doing this
operation. This to inctude,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand I am also required
to obtain e perrnit prior to any work,if necessary.
FINAL METER READING(oid meter) � �� / � � �
Name: '"���� Address � lY tril if ��', �1�t.�-J
Phone Number � � �V �� Date � ^ 31� [�
'^�
x Signature Witness Signature
� �
OLD METER#_ �� v i o�� ��
OLD READING S�� ` ���
NEW METER# ����� l� I
NEW READiNG �
ERT# � �� � � a l7'1
FRIDLEY CITY CODE
CHAP'TER 402.WA�"ER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
(IZe#Ord No 113,464,565,566,529,638,662,922,988, 1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting 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 sha(I pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,tfie Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
�roper and suitable connection.
402.06 REPAIRS AND MAINTENANCE 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{ead has
been extended to the property line for sonnection,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 ta the premises. tf 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/ar
repairs,including necessary street repairs at a rate set annua{ty by an administrative policy. It shall 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 including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)