Meter Swap f
�� Request Number: 13090
Public Works Division
Service Request
Problem Adddress: 1501 N Timber Ridge Requested By: Charles
Depactment: WATER �.��s: 1501 N Timber Ric�e
Fridley,MN 55432
Problem/Isaae: INSTALL AMR METER Pirone Number: 763-571-5629
5c�eduled Ds�te: 2017-02-01 Schedaled 1lme: 08:00:00
� ST
ACTION NEEUED:
Created by: Beth Kondrick Date Cres�ted: 2017-01-26
ACIION TA��
'�.� ��.�- �1� I� _
StAtus: In Progress �bmitter Hns Been �..,
Cont�ted
Dxte C�1�tpleted: Completed by:
�- � - i� `� ��r
�
Wate��e�sartrxtent
6431 tlniversity/Avereue 9YE , � �� -•� � �,7�i� ��. �
Fridley,MN 55432
763-572-3566 ��. ��I �
t
� ��'Ke hereby authorize the Crty of Fr�dley andJor its empioyees to do what is necessary to
replace#he wafier meter. 1 understand that the property owner 9s tiabie for the+nrater line#rom the main to the premise and a{{irrterior
plumbing. (Per City sode d02.06j i aiso hold the City of Pridley and(its employees harmless#or any siamages that may occur while doing this
operatian. This to inciude,bufi not limited to valves,piping,wails,floors or the curb stop box and service line. in understand d am also require�
to obtain a permit prior to arry wor5c,if necessary.
FINAL METER READING(o!d meterj 1� 1� �
Name:� _... Address �1 �1�1�
Phone Numh ) � Jp p� � �� �
Signature YYitness Sigrtature
OLD MfTER# ��� ��(��
OLD READtNG �� � ��"'��
NEW MEfER# - `� w ��
NEW READiNG �
ERT# ��7 L{ ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,SfORM WATER AND SANITARY SEWER
ADMff1NSTRATfON
�Ref Ord Nv 113,464,565,556,529,638,662,922,988,1144,1I56,1191)
4U2.5 PERMIT FEE
Prtor to constructing or repair of any water of sewer tine connecting the existing rs�unicipai system and arry house or buildir�for which the
appiication is made,the owner or corrtractor shall be required to obtain a permit for such connection,aad sFwll pay a permit fee as p�ided ip�
Chapter 11 of this Code. After such connection has been made,the Watec and Sewer Departmertt sha11 be noiified. k sha0 be untawful in cover
arry connecting line until an inspection has been made and such connection and the woric inciderrt thereto has been appraved by the City as a
proper and suitabie connection.
402.06 REPAfRS AfYD MAINTEfYANCE TO CONNECitOt�!
Atter the initiai connection has been made to the water senrtce curb stop box or the sewer lead at tf�e property iine or a water sgrvice Iead has
been extended to the property fine for connecCion,the appiicartt,owner,or occupac�t or user af such premises shaii be iiabie for all repairs
required to any water line and sewer tines necessary for connectton of the premises from the main te the premises. If tl�e property owner
requests maintenance service or repairs be perFormed by the City,the praperCy omrner sfiali be charged fior fihe aosts of the malrtteriance aad/a�
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shati be the respansibitity of the applicarrt,
owner,accuparrt or user to perform standard maiMenance of the sewer service fine from the premises to the main iacluding debris dearit�g or
root cutting and to maintain the waCer service curb stop box for operability and at such height as wil!ensure that it remair�s above the flnished
grade of the land or property. (Ref 638,1156,1191J