Meter Swap �
'� � � Request Number: 17239
PubHc Works Division
Servtce Request
Problem Addcess: 7844 Pearson Way Reqnested By: Jeremy M
Departmeut: WATER Addres:: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Nnmber: 613-961-Z036
Sc�duled Date: 2017-1 21 deled 1lme: 08:Q0:00
1 VVV � S 1 ���11r"�""`�
AC'1ION 1�EDED:
Cre�edby: Wendy+Hiatt DateCreated: 2017-11-08
AC'IION'PAI�N: :�
�ns�� �1112
statu:: Ia Progress sabmitter Haa B�� r,
Contuted
Ihte Con�tleted: Completed by:
a� �,�� ►� �;�,
i
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City of Fridley
Water Department
6431 University Avenue NE '3 �'�.,�f�l fCV'U�
Fridley,MN 55432
763-572-3566 S D � (o b
I/we hereby authorize the City of Fridley and/or its employees#o d what is neassary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMe�ior
plumbing. (Per C'�ty code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may oaur wMile doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name: ��e�V � Address 78 y y �e�TSv� wQY
Phone Number co�oZ ` qla 1 "a0 3�v pate �� N"':� �7
Signature Witness Signature l�4�'"zr-
OLD METER# ��� l� ;���, S12E & STYLE iCircle)
OLD READiNG �o��y��'� 5j8' HEX Sju�d'�'��
NEW METER# �i-13 S���'3 1" HEX
NEW READING � i'r4" ELIPTICAL or HEX
ERT# /a3 7$ 3 7� 2" ELIPTICAL or HEX
FRIDIEY 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 or repair of arry water of sewer line connecting the existing municipal system and any house or building for which the
appiication is made,the owner or contractor shall 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 and Sewer Department shall be not�ed. It shall be unlawful to co�rer
any connecting line urrtil an inspection has been made and such connection and tfie work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAfRS AND MAINTENANCE TO CONNECTION
After the i�itial rnnnection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for connection,the applicant,owner�or occupant or user of such p�emises shall be liable fw all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owoer
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance and/or
repa+rs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responslbility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding 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 the finished
grade of the land or property. (Ref 638,1156,1191)