Meter Swap Request Number: 12813
Public Works Division
Service Request
Problem Address: 1671 Onondaga St RequesEed By: Tom Binlwwsld
Department: WATER Addreas: No address providcd
Problemi/Issue: INSTALL AMR METER PLo�Number: 763-'I84-7244
Sehedaled e• 2017-0 -ll � Sc6edaled'Rme: 07:30:00
��-�P a�, � �Z', �
ACTION NEEDEDe
Crested by: Wendy Hiatt D�te Created: 2017-01-10
AC7ION TAKEN:
�v�-5�-�,c►�,�, 1°�.
Sts�tus: In Progress ��ner Har Beee �.,
Costscted
Date Completed: �—l 1— 1� Compteted by:
.
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City of Fridley �I�J q ��� �F' �� "" D '
. � � Water Department
6431 University Avenue NE
Fridley, MN 55432 � v � � I �
763-572-3566 �
1/we hereby authorize the C'ity of Fridley and/or its empioyees 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 all iMerior
plumbing. (Per City code 402.06) 1 also hold the Crty of Fridley and/its employees harmiess for any damages that may occur while doing this
operatio�. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any arork,if necessary.
FiNAI METER READING(old meter)�s.J P���+'�:Y� �
Name: ���� �1`I/�.�--0 W 5k'1� Address_1�� � �41.'�(�i G� ��
Phone Number 3` U� � / �-� I Date '�` l \J�
�Signature Witness Signature �i
�3� ��� (�
OLD METER# ��,�� —f7`'t�
OLD READING ��`, �� /d
NEW METER# '�`1 l I$5 03
NEW READING �
ERT# � �v O �;�5lY
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
(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 Iine conneding the existing municipal system and arry haise or butiding for which the
application is made,the owner or corrtractor shall be�equired 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 Departmerit shall be notified. It shall be uniawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connettion.
403.06 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 properly Iine or a water senrke lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be Itable 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
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the(and or property. (Ref 638,1156,1191)