Meter Swap � � Request Number; 15439
Public works Division
5ervice Request
Problem Address: 132 Rickard Rd Requested By: Renee
Department: WA'IER Addresss No address p�ovided
Problem/lssue: INSTALL AMR METER PLone Number: 612-24�-0240
Schedaled Date: 2017-OS-22 5chednled 13me: ` 10:30:00
�I ''� '3
ACIION NEEDED:
Created by: Wendy Hiatt Date Crested: 2017-OS-18
ACTYON TAI�N:
_._._.._.._......___..___.__�____._ �..��_�_�....._...�.�....... __...._ _.....__ _...
_....__.. _._____. ._______. _. �.
Status: In Progress Sabmitter Has Been r
Contacted ..�;:.,
�.;�.�.:.
,,; ::.
Date Completed: � � � 1 � Completed by: ���� , '
" � [
,
. �
� FRI
�� �i
� � '�- ��� 3�0 -�3
- City of Fridley
Water Departme�t ���� (.��
6431 University Avenue NE K
Fridley,MN 55432
753-572-3566
f/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and a{{i�rterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inctude,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old mete�) �� �" ��SO
Name: `�:V�`�`�, Address_ � J� �ti` �j'L UJ�(� � _
PhoneNumber ��� ` "'� / — ���� Date �� �� � � `
Signature Witness Signature ~�
OLD METER#_ 6 � ` / , �y
�----
OLD READiNG ���� ��v
NEW METER# � �� � � I ��
NEW READING �
ERT# _ �� �� � � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,988.1144,1156,1191) '
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal s�stem and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,and shali pay a permit fee as provided in
Chapter il of this Code. After such connedion has been made,the Water and Sewer DepartmeM shall be notified. It shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the in(tial connection has been made to the water ssrvice wrb stop box or the sewer lead at the properry 11ne or a water servke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the n�aintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Refi 638,1156,1191)