Meter Swap = s Request Number: 12702
r
pU�1C wOY'kS DlV1SI0I1
Service Request
Problem Addresa: �380 Melody Dr Requested By: Brad Carison
Departmeet: WATER Addreas: No a�ress pro�i�d
Problem/Iss�: INSTALL AMIt METER Phone Nnmber: 763T83-7824
ScLedaled Date: 2 17-01-21 5e�deled 1ime: 11:00:00
-� a �ST �
ACIION NEEDED:
Created by: Wendy Hiatt Ditte Createds 201�-01-03
ACIION TAI�N: � _
I�. f �, � �Z .,.:
_� �
.:
Status: In Progress S�bmitter Has Beee r,
Co�actad
I?nte Compieted: Completed by:
� ��� / � �� ��
V �
/ �
City af Fridley
Water Department ? r�
6431 University Avenue NE � ��--S��7��-'U"I
Fridfey,MN 55432
, ' 763-5723566 �� '�') ( (�
���
�/We hereby authorize the City of Pritiley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is{iab{e for the water line from the main to the premise and ali interior
piumbing. (Per City code 402.06) i 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 timited 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 wor�c,if necessary.
FINAL METER READING(old meter) � �� v i�
Name• �1 � l�`'r��� Address � � vL�� .
Phone Number��� /��" ����ate � �lr` `
Signature �� Witness Signature
OLD METER# � I � � ��
OLD READING J� � ���
NEW METER# � � � � b-��� I
NEW READING O
ERT#YJ�i'.�/� i � � �
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 constructing or repair of any water of s�ver line connecting the existing municipai system and arry house oc buiWFng for which the
appfication is made,the owner or corrtractor 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 Departmerrt shall be notified. it shaN be unfawfui to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECYION
After the Initial connection has been made to the water service curb stop boK or the sewer lead at the proqerty line or a water service kad fias
been extended to the property line for connection,the appiicaM,owner,or occuparrt or user of such premises shall be ltabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
�equests maintenance service o�repairs be performed b�r the City,the property owner shall be charged fo�the casts of the mairtenarxe andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility af the appliprrt,
ow�er,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main including debris dearing 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 fi�ished
grade of the land or property. (Ref 638,1156,1191)
aaa..rs_�