Meter Swap �
�" Request Number: 12891
Public works Division
; Service Request
Problem Address: ', 310 Osborne Rd Requested By: Floris
Depsrtmeut: , WATER Addresa: No adc�ess provided
Problem/Issued I 1NSTALL AMR ME'IER Pho�Number: 763-486-9570
Schednled Date: 2017-Oi-18 Schednled 1ime: 08:30:00
-.�� l��'�' � �'� � z�
ACTION ED:
Crexted by: '`.w.�ndy Hiatt Date C�eated: 2U17-01-17
AC"IION TA[�N:
�. �........__.._ ��t_.��...� ._._.__����_____._ . .�..
5tat�: In Pro�ess Submitter Hu Bcen �,
Conts�cted
Dste Completed: --� �.,� �`J Gompleted by:
I
�o�t or a-riaoey
Water�epartment ��) ��; '� �}
6431 tDniversity Avenue PIE `T
Fridley,MN 55432 �� 3-'���9�v U��
�
753-572-3566
!/we hereby authorize the City aF Fridiey and/or its empfoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line frorn the main to the premise and all interior
plumbing. (Per Gty code 402.06) i aiso hold the Clty of Fridley and/its employees harmiess#or any damages that may occur while doing this
operation. This to include,but not Bimited to va�ves,piping,walls,floors or the curb stop box and service tine. in understand i am also required
to obtain a permit prior to any wo�[c,if necessary.
FIAIAL METER READII�G(oid meterj � /") Vd� �� �
Name• l�' Address ���� �V�V1-� �-
Phone Number f`G �� t✓���,5 �� p� �'"'"��—�-�
Signature Witness Signature ��
OtD METER# � 1 j U l 1 Y/
OLD READlNG � ` �����
NEW METER# � 1 � �-/� �
NEW READING O
ERT# CQ v V��
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 o repair of any water of sewer line connecting the existing municipal system and arry house or buildin�g for which the
application is made,t e owner or corrtractor shall be required to obtain a permit for such connection,and sFiall pay a permit fee as provided in
Chapter 11 of this Cod . After such connection has been made,the Water and Sewer Department shall be natified. !t sha!!be uniawful to cover
any connecting line u il an inspection has been made and such connection and the worlc inaderrt thereto has been approred by the�ty as a
proper and suitable co nection.
402.06 REPAIRS AND AINTEf11ANCE TO CONNECTION
After the initiaf conn 'on has been made to the water service curb stop box or t6e sewer fead at tF�e property iine or a water service fead(�as
been extended to the roperty line for connection,the applicarrt,owner,or accupant or user of wch premises shall be liable for ali repairs
required to any water ine and sewer lines necessary for connectian of the premises from the main to the prem�es. ff the properly owner
requests maintenance rvice or repairs be performed by the City,the properky owner shall be charged for the costs of the maiRtenanae and/or
repairs,including nece ry street repairs at a rate set annually by an adminis#rative poliry. It shai!be the responsibility of the applicarrt,
owner,occuparrt or us�r to perform standard mairrtenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to ma�r�tain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or pr perty. (Ref 638,1156,1191j