Meter Swap � y
� � Request Number: 12917
Public Works Division
Service Request
h
Problem Address: 1437 Meadowmoor Dr Requested By; Ms Fowler
De�rtment: WATER Addreaa: No ad�ess provided
Problem/Iss�u: INSTALL AMR METER Phom Number: '763-780-8T91
Sc�eduled Dxte; 2017-01-28 Schedule�1lme: �'
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,. . ACTION NEEDED:
Crented by: We�xly Hiatt Date Cre�sd: 2017-01-17
ACIION TAI�1�1:
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s��c�: ��o�� s�rter�ae�� �,
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I?ate Compteted: I .�l�y,�`� Completed by:
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u�/�r rr�aoey
Water Departrnent I,„, �
6431 Universitgr Avenue PIE >I �—� � ��yV"� I
, _ Fridley, MN 55432
, 753-572-3566 ��� � � � 3
1/we hereby authorize the City of Fridiey and/or its emptoyees to sio what is necessary to
replace#he water meter. I understand that the property owner is liabie tor the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the C'rty of Fridley and/its employees harmless#or any sJamages that may ocair while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to any wor�c,if necessary.
FIMAL METER READING old meter) 1��'� � { � / �� D
=T�6"
Name: � �`ei� Address--- 1� � � �����W�1 Lrp� 3/�
Phone Numb V��"��CJ��"� I Date 1✓ �TJ —� \�
Signature Witness Signature
,
OLD METER# ��7 �oc��q �
�'"
OLD READING �`�Z �f 5 70 � �
�q -7 f "
NEW METER# � ` d / � � �
NEW READING �
ERT# � � � I � 5 lg �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buildir�for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permitfee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt sha0 be notified. tt shall be unlawful to cover
any connecting line urrtii an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service wrb stop box or the sewer lead at the property Iine or a water service lead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises sF�ali be Ifabk for all repairs
required to any water line and sewer lines netessary 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,ihe property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shail be the responsibility of the applicarrt,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main includi�debris dearing or
root cufiting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)