Meter Swap • Request Number: 12597
Public works Division
Service Request
Problem Address: �386 Memory Ln Requested By: Robert Ferdinand
Departmeat: WATER Address: No address provi�d
ProblemJles�: INSTALL ME1ER Phonc Number: 612-231-6575
ScLeduled Date:. 2017-01-12 Schedole�Ti�ae: �1(��J M
��L a. �' � �n
ACTION NEEDED:
Cresited by: Wendy Hi�t Date Created: 2U16-12-2?
ACIION TAI�N:
' �L� �C C.�.�\`�.'� ��� �
Stntus: In Progress ���er Ha�Been �,
Co��ted
Date Compieted: Completed by:
� - 1�-- � 7 -
A i
��t L�
City of Fridley O ��� � �
Water Department S q �
6431 University Avenue NE (� ,S�`(�/�� �
Fridiey,MN 55432 �
763-572-3566
�/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 ali interior
plumbing. (Per City code 402.06) 1 also hold the C'ity of Fridley 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.
FINAL METER READING(oid meter) �I� �
Name• ��'��� ��1���Address, � VY"�
Phone Number L- � ��� Date � b� �
Signature � � Witness Signature
OLD METER#_ 1"`O� h�� ' d,.1�
� ` �J c� ,s-
OLD READING `
NEW METER#_"1��� �� � �j
NEW READING �
ERT# � �U17 � � �(G�
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 sewer line connecting the existing munklpai sqstem and arn/house or bulldir�for which the
application is made,the owrter or contractor shaU be required to obtain a permit fw such wnnection,and shali pay a pennR fee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notif'ied. R shail be unlawful to cover
arry connecting line until an inspection has been made and such connedion and the worlc incident thereto has been approved by the City as a
proper and witable 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 waLer service kad has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of sud�premises shail be liabk for afl 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
requests mair�tenance service or repairs be performed by the City,the property owner shall be cherged for the costs af the maintenance and/a
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. R shall be the responsibility aF the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main induding deb�is 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�inished
gtade of the land or property. (Ref 638,1156,1191)