Meter Swap ' Request Number: 13158
Public works Division
Service Request
Problem Addreas: 1376 Osborne Rd Requested By: Pam
Departme�: WA1ER Address: 1376 Osborne Rd
Fridley,MN 55432
Problem/Isaue: INSTALL AMR METER P6o�Number: 612-490-62$6
Scheduled D�te: 2017-02-06 Sc�edaled 11me: 01:00:00
V� �
ACIION NEEDED:Install AMR
Created by: Beth Kondrick Dxte Cre�ed: 2017-01-30
ACIION TAI�N:
�-►�.s�11�' ____. ____._.
St�s: In Pro�ess Snl�mitter Ii�Been r,
Co�aeted
Date Completed: 2--�p — �� Completed by: _
���
Wate�L)epar�rnent
6431 University/Avenue N� S � aa.�3
Fridley, MN! 55432 � /
` 753-572-3566 � `' . � l� � �(� -U /
J � � ._
1/we her�by authorize the Crty�f Fridley andJor its employees to do what is necessary to
rehlace#he water sneter. 9 understand that the property owner as liable for the water line trom the main to the premise and ail irnerior
plumbing. (Per City sode 402.06) i also hold the City of Fridley and/"rts employees harmiess#or any�lamages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the surb stop box and service line. In understand 1 am also require�
to obtain a permit prior to any�ror4c,if necessary.
FINAL METER READING(old meter) � �� � � � �
Name: ��� Address 1�� � ��J ��"e � .
Phone Number ��2� -! ( V "� (.�J� pate �.,^-��,,L'"' ��
+-�.
Sign�ture Witness Signature
OLD METER#�I���(/_
OLD READtNG �,v � �� v <�� �
NEWMETER# ���� �3 ��'
NEW READING �
ERT# � I �� O v `�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord NO 113,464,565,566,629,63$,662,922,988,1144,Ii56,1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and arry house or buildir�for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shail be unlawful to cover
any con�ecting line u�il an inspection has been made and such connection and the work inaderrt thereto has been apprrnred by the Clty as a
proper and suitable connection.
402.06 REPAIRS AND MAIPITENANCE T�CONNECTION
After the initiat connectio�has been made to#he water service curb stop boK or the sewer lead at the property line or a water service iead has
been extended to the property line for connection,the applicarrt,owner,or occupaM or user af such premises s6a[!be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tF the property owner
requests mairrtenance sen►ice or repairs be perFormed by the City,the proper#y owner shaii be charged for the�of�e maintenar�ce and/or
repairs,including�ecessary street repairs at a rate set annually by an administrat�ve poliry. It shall be the responsbility of the appilcarrt,
owner,occupant or user to perForm standard mairrtenance of the sewer service iine from the premises to the main inciuding debris dearing or
root sutting and to maintain the water service curb sfiop box for operability and at such height as will ensure that it remairu above the finished
grade af the land or p�operty. �Ref 638,1156,1191j