Meter Swap . Request Number: 12764
r�nn�wo�n;�;sion
seY,►ice Req�st
Prebiem Addreas: 1494 Onoac�a St Reqnested By: Gerald Wiclm�n
Dep�vt�ut: WATER Address: 1494 O�wnd�a St
Fricticy,MN SS433
Pro6lero/Issue: INSTALL AMR ME'IER Pho�Namber: 763-?86-7486
SciMe�led 2017-01-13 Sel�dedllme: 11:30:00
� ` �
A�C"TION NEEDED:I�tall AMR
Cre�ed by: Heth Kondrick D�e Created: 2017-01-06
AC'IION TAI�N:
�����.� �
�
St��: In Progiess Srbmitter Ha�Bee� �.,
Cout�eted
Date Ce�pleted: �� '3..-I� Coa�pleted by:
._f...__ �� �; �,�,,,,•-
L� l��
� ��
City of Fridley /
Water Department � � a (�(' � /
6431 University Avenue NE V
� ' Fridiey,MIV 55432 ��-3 ,r)���-�d�C�� �
' 763-572-3566
1/we hereby authorize the City af Fridiey andjor its empioyees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06J 1 also hold the C'�ty of Fridley and/its empioyees harmless for any damages that may ocaar while doing this
operation. This to include,but not limited to valves,piping,walis,flaors or the curb stop box and service iine. In understand 1 am also required
to obtain a permit prior to arry wor&,if r►ecessary.
FINAL ME'fER READiNG(old meter) �,�� ����
Name•_V��`� V"+�C�,�tl�/'`A�V1 Address!1 t �t.� �" `�'���aq f/L ��
Phone Number /�J�" I U� — /� �Date `~ 1. J"' ��
�nature , s r Witness Signature '^'
OLD METER# O�-c./ � ` V �Q � �
OLD READING `� 1� l.�
NEW METER# U f � 1 V� " 1,�
NEW READING O
ERT# �..!/ �� �� � ` i
FRIDLEY CI'fY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SE1AfER
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 munidpal system and arry house or buildin,g for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connectton,and shall pay a permit fee as provided in
Chapter 11 aF this Cocle. After such connection has been made,the Wate�and Searer Departmer�t sfiaN be notified. it shaii be uniawful to coaer
any conneding line until an inspection has been made and such connection and the worlc indderrt thereto has been appro�red by tfie City as a
proper and witabie connection.
402.06 REPAlRS AND MAINTENANCE TO CONI�ECC{ON
After the initial connectian has been made to the water service curb stop box or the sewer lead at the property I�ne or a water service lead has
been extended to the property line fo�cannection,Che appiiprrt,owner,or accuparrt or user of such premises shdll be liable for all repairs
required to any water line and sewer lines necessary for connectton of the premises from the main to the premises. ff the property owner
requests mairitena�ce senrice or repairs be performed by the City,#he property owner shall be charged for the costs of the maiMena�andJor
repairs,including necessary street repairs at a rate set annua{{y by an administrative policy. It shail be the responsibility of the applicartt,
owner,occupant or user to perForm standard mai�tenance of the sewer service line from the premises to the main inciuding debris dearing or
root cutting and to mairtitain the water service curb stop box for operability and at such height as kvill ensure that it remains above the finisMed
grade of the land or property. (Ref 638,1156,1191)