Meter Swap Request Number: 12989
.
Public Works Division
Service Request
Problem Address: 1658 Osborne Rd Requested By: Mrs.R�nitsld
Department: WA1ER Addresa: No address provided
ProMem/Issue: INSTALL AMR METER Pho�Namber: 763-?86-4091
Scheduled te; 2017-01-26 Sc6ed�led'Rme: 01:00:00
! � 1. �
ACIION NEEDED:
Created by; We�y Hiatt Date Created: 2017-01-20
AC7ION TAI�N:
V�✓����� � ��
Status: In Progress Snbmitter Has Been r,
CoMaeted
Date Completed: Completed by:
�- �( - � �a�j I�r
7
Wate��e�sarta�rsent
5431 lDnivea-sity/Avenue NE ���� � � �t�
Fri d ley,M R! 5 5 4 3 2 r 3 y��'
753-5723566 ��j l 3 �b
��"'�e hereby authorize Yhe Ciiy of Fritlley and/or its empioyees to aio what is necessary to
' replace+the wafier meter. �understand that the property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 402.06) i a(so hold the C"rty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,but not Bimited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also require�
to obtain a permifi pr�or to arry�rork,�f necessary.
FINAI.METER t2EADiNG(old meterj � � � � `r ��
Name• ��. ~t 1 Address � �(,��3Y ��r+�G�
�" " � '' ��' �1
Phone Number p�
�
Signature Wiiiness Signature
OLD METER# 1� � �� �Z d 3
OLD READlNG L � 1� ���
NEW METER# ��r 1 (rJ� ��
NfW READING V
ERT#__�I�__��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Aio 113,464,565,�66,629,638,662,922,988,1144,i156,1191)
402.5 PERMIT FEE
Prior to constructir�g or repair of any water of sewer line connecting the existing muniapal system and arry house or building for which the
applicafiion is made,the owner or corrtractor sha(I be required 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 a�d Sewer Departmerit shali be notffied. It shall be unlawful to cover
any con�ecting line ur�til an inspection has been made and such connection and the work inciderrt thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAtNTENANCE T�CONNECTION
After the initiai connection has been made to the water service curb stop 6ox or the sewer lead at the property it�e a�a water senrice lead has
bee�exfiended#o the property li�e for connection,the appiicarrt,owner,or occupant or user af such premises shall 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. if t�e properLy owner
requests ma�n#enance senrice or repairs be perFormed by the C'rty,the property owner shali be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility vFthe applicarrt,
owner,occuparrt or user to perForm standard mairitenance of the sewer senrice tine from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above fihe finished
grade of the land or property. (Ref 638,1156,1191�