Meter Swap .
` Request Number: 12848
Public Works Division
Service Request
Problem A�ddresa: 1430 Meadowmoor Dr Requested By: N1r.Greem�wod
Departme�: WATER Address• 1430 Meadowmoor Dr
Fridl�y,MN SS432
Problem/tsaue: INSTALL AMR METER Phone Number: '163-786-0629
Sc�ed�led Date: 2017-01-19 Scbedaled'ltme: 01:30:00
. � C`r� ? 3
ac�t�ox r�nEn:�rau.v�
Crested by: Beth Kondrick Date Cre�ed: 2017-01-i2
ACTION TAI�N:
� �,,�.��.�- �1��
Shtns: In Progress ���er Hu Heea �.
Contacted
Drte Completed: Completed by:
I- l�- ��1 _
�
City of Fridley �� �
Water Department � ��-������`�
- � 6431 University Avenue NE � �
� Fridley,MN 55432 � O �/�,C,
763-572-3566 v '�
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the C'ity of Fridiey and/its employees harmless for any damages that may occur 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 I am also required
to obtain a permit prior to any work,if necessary.
FINA!M TER READING{old meter) �� � � ��
Name: ��, `�� Address �`' 0� •• `Wr �
Phone Numbe������� �//� Date `� 1 �'-��
Signature ���� Witness Signature - -
OLD METER# �� (�D �� �
�
OLD READING_�J � I � � v
NEW METER# Y� � I���
NEW READING �
ERT#1����U��� �
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, 1156,1191)
402.5 PERMIT FEE
Prior to constnacting or repair of any water of sewer line connecting the existing municipal system and arry haise or building for which the
application is made,the owner or contractor shali be required to obtain a permit for such rnnnection,and shall pay a permk fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notlf'ted. It shall be unlawful to cover
any conneding line untii an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONPIECTION
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 servke lead has
been extended to the property line for wnnection,the applicant,owner,or occupant or user of wch premis�s shall be liable for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be per�ormed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall 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 indud(ng debris dearing or
root wtting 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 of the land or property. (Ref 638,1156,1191)