Meter Swap `` Request Number: 13348
Public Works Division
Service Request
Problem Address: 157$Osborne Rd Requested By: Larry
Departmt�t: WAZER Addreas: 1578 Osborne Rd
Fridley,MN 55432
Problem/Is:ne: INSTALL AMR METER P6one Nnmber: 612-369-2023 '
Y
Sc6edtiled Ds�te: 2017-02-17 Scheduled 11me: 08:30:00
� `�
� ACIION NEIDED:
Creatcd by: Beth Kondrick Dsite GYerted: 2017-02-08
ACrION TAI�N:
r�� l�
" i
Y ., �
�
. ����.'`I� ":�
'
�. Rf✓�r�.:: . .
_u'�
5tatus: In Progcess Snbsdtter Haa Been �.. :
Cs�stacted
Date Completed: �.-- �,�� �� Completed by: 1�1�� �°�f� -
�J �
�.�ux,rv xr��pe y,IHH�C11@.
5431�D�sfv�a-sity e4verae�e NE �Q 3��p�
. Fridtey,MN 55432
�63-572-3566 � �'� �-- ���j,� �j' �--�� �
s_
�/°y� hereby authorize#he Ciiy af Fritlley and/or its empioyees to slo what 7s necessary to
replace the water meter. !understand tha#fihe property owner u tiable for the wrater line#rom the main to the premise and all infierior
pleambing. (Per City cosle 402.06� i also k�old the�ty af f�idtey andJits employees harmless#or any damages that may occur while doing tF9is
operation. This to Tnciude,but not Bimi#ed io valves,{��ping,wa11s,f9oors or the curb stop box and service)ine. In understand l am also requir
#o obtain a permit prior to arry rvor4c,if necessaey_
FIMfiL METER READtNG(ald meter)� V � , (���
Name:���'r``/ Address �� i V �5�9�Y'h-'� �-
Phone aumber�'��'��� — ��Date �" �� ���
Signature WitnesSSignature �
.=
� .. �
..:>�,
OLD METER# �ty� �VV V 1
OLD READING IY � 1 � ��
RiE1At ME'fER# r U I U � / � �' _
NEW READING V `�`� -
w '�
� � _+y .�� y .
ERT#, V Y V � �J l V �.,�,� ., .
�
���;
`".-�
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANITARY SEWER
ADM#NlSTRAI'ION
{itef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4Q2.5 PERMCf FEf
Prior ta constructing or repair of aoy water of sewer line connecting ifie existing municipat system end arry hause or buiidirig fvr whid►the
application is made,the owner or corrtractor shall be required to obtain a permit for sucF�connection,and shali pay a permit fee as proaided irr
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmertt shall be notified. it shail be unlavrfut to crnre
arry connecting line urrtil an irrspection has been made and such connectivn and the wor�c inaderrt thereto has been approved by the City as a
proper and sui#able connection.
402.06 REPAIRS AAtD MAtNTENANCE TO CONNECTION
After the initial connectien has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead F�as
been extended to the property line for connectfon,the appiicarrt,owner,or accu pant or user o#such premises s[�all be iiabie for�It repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be perFormed by the City,the property owner shatl be cf►arged for#he costs of the mairrtenance andJor
repairs,inciuding necessary street repairs at a rate set annually!,ry an administrafiive poliry. Ft shail be the responsbility af the appiicarrt,
owner,occupant or user to perform standard mairrtenance of#he sewer service line from the premises to the main inciuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remair�.s above the finished
grade of the iand or property. {Itef 638,1156,1191j