Meter Swap Request Number: 13071
Public Works Division
Service Request
Problem Address: 1521 N Timber Ridge Requested By: Chacles Neubauer
Depsrtmeut: WA7ER Address: No address pro�ded ,
ProblemlLssue: INSTALL AMR ME'IF1t Phone Nwnber: 763-574-9625 '
!
Schednled Date: 2017-01-30 Schedaled Tlme: ��� Q.��
�� �
ACIION NEEDED: �
I
�
Crented b� Wetdy Hiatt Date Created: 2017-01-25 ',
AC ITON TAI�N: I'
� �e.C�i � I,..S s� ��- � '
� ��� � �� �
�
.�
� �
�
��-M _ ,
;,
��,
. ��
Status: In Pro ess Submitter Ha�Been � I,
� Co�acted
�'�
�I
D�te Completed: ��3 d '� �� Completed by: � ��, ��I
li�
'
I�
�i
�
,
Water�parta�e'e�t �
� 6�31 tOnives-sit+y Aves�ue NE ��x �� '
Fridley,M111 554�2 ���,�j'G���
753-572-3566 � ���
!/we her�foy authorize the City vf Pridley and/or its employees to�lo what is necessary ta
replace the water meter. I uncierstand that the propercy uwner is tiabte for the water line feom the main to the premise and a{I interior
plumbing. {Per C+ty code 402.06j i adso hold the City of Fridley and/'rts employees harmless for any damages that may occur while doing this
operation. This to include,but nat lim+ted to vaives,piping,walis,floors or xfie curb stop box and service line. la understand i am also require�
to obtain a permifi prior ta any worlc,if necessaey.
FIAIAL 1VAETER READIPiG{ald meter) _ �" 1 " { `�-� V
ri[ame: r/r� �'e� .1�`e�.1�c1.��I^ Address I��� � • 1 l,1M�'�1/' �l,Cg �
Phone Number��3 ^ �7�� l�Q��j p� � '� � �" t�
Signature Witness Signature ""
OLD METER#_ l� �3 �v v�
OtD READtNG__� `� ��f �
Q� � �] c�� I
NEWMETER# � v � l �/'`� V � '
a � r�' I
NEW READifVG �
ERT# � � V i � � � �
I
I
� I
I
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANRARY SEWER '
ADMiNiSTRATtON
(Ref Ord No 1Z3,4�64,565,566,629,638,662,922,988,1144,i156,i191j I'',
i
402.5 PERMIT FEf I�'
;I
Prior to constructing or repair of any water aE s�ewer line connecting the existing municipa(system and any fiouse or butlding for which the I
appl�caCion is made,the owner or cor�tractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in '
Chapter 11 of this Code. After suci�connection has been made,the Water and Sewer Department shall be na't�f'ied. it shaii be un(awFul to oover'
any con�ecting line ur�ti)an inspection has been made and such con�ection and the work inadecrt theceto has fieea approved by the Gty as a
proper and suitabte conneckion.
�
402.06 REPAIRS AMD MAINTEWANCE Ta C0111tYECTtON I
After the initiai connection has been made to the water service cur1�stop box or the sewer lead at dse property 1�ne or a wa�r servi�lead has
been e�ctended#o the property line for connedaon,the appiicarrc,owner,or accupant or user of wch premises sha{{be Iiabie for ai)rppaQrs
required to any water line and sewer tines necessary#ar connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by tfie City,the property awner shatl be+charged for fihe�aF the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative qoliry. It shatl be the respansibi{ity of d�e applicarrt,
owner,occuparrt or user to perform standard mairrtenance af the sewer service line from the premises to the main including debris dearing or
root sutting and to maintain the wate�service curb stop box for operability and at such height as will easure that it remains a6ove the finished
grade of#he land or property. (Ref 638,1156,1191)