Meter Swap � Request Number: 15473
Public works Division
Service Request
ProWem Address: 31 Osbome Way Requested By: Michael
Department: WA'IER Address: No address provided
Problem/Issue: IN5TALL AMR METER Phone Number: 763-234-3442 `
Schednled Date: 2017-OS-22 Schednled'19me: 07:30:00
�na -�,�
ACIION NEEDED:
Created by: Wendy Hi�t Date Crerted: 2017-US-19
ACTION TAI�N:
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Sablautter Has Bees
Status: In Progress Conts�cted r
Date Compteted: �' � Completedby: �a�,�
H011t9 r �� '�
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, ` City of Fridley �� 3 � � I / �`�"" � ��
Water Departrnent � �2 g I
6431 University Avenue NE � ��
Fridley, MN 55432
763-572-3566
�1We hereby authorize the City of Fridley and/or its employees to do wbat is necessary to
repiace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all ir�terior
piumbing. (Per City code 402.06j I also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,waiis,floors or the curb stop box and service line. fn understand f am afso required
to obtain a permit prio�to any work,if necessary.
FINAL METER READtN6(old meter) __ �v� � � � l./
Name: I�GGI�.F,�.�Q l Address �� �51FJ� �
Phone Number_ �VJ�` ��-!` ��-Gv`p�e 5''p�, ` ��
Signature Witness Signature
OLD METER# ��w L
OLD READING �UO � � l�v
NEW METER# � t��� I ��
NEW READING �/
ERT# �� � � �� � - f
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADM{NISTRAT{ON
(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 line connecting the existing municipal system and any house ar bufiding fo�which the
application is made,the owner or contrador shall be requlred to obtain a permit for such connection,and shafl pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shail be unlawful to cover
any connecting line urrtii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After tfie initiai connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shalt be tiable for atl cepairs
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 shail be charged for the costs of the mair�tenance andior
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perForm standard mair�tenance of the sewer sesvice tine from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remafns above the finished
grade of the land or property. (Ref 638.1156,1191)