Meter Swap .
Request Number: 15504
` Public Works Division
Service Request
Problem Address: 124 Rickard Rd Requested By: Paul Bernards
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-599-1930
Scheduled Dnte� 2017-OS-24 Sc6ednled'I1me: 01:30:00
� 1
ACIION NEEDED:
Created by: Beth Kondrick Drte Crented: 2017-05-22
ACTTON TAKEN:
..........�:_���`1.._...__...............�.�........._.._._..__ ._ ___._...__....._.___ ______. ____..
Status: In Progress Submitter HAs Been r.
Coutacted
D�te Completed: Completed by:
rJ- 2y- �`l ���°�
City of Fridley 3 ��� y�� 3��'v�
, Water Departrnent � �
^ 6431 University Avenue NE �N1 ��
Fridley, MN 55432 �J
763-572-3566
��`"�e 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 all ir�terior
plumbing, (Per City code 402.06j 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operatian. This to indude,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a perm�t prio�to any work,if necessary.
FINAI.METER READING old meterj I ���D "�V
Name:�� Address 1�'�\ �e�Z�� �
Phone Number tCJY V"� V��/� Date ����'''�� '
Signature \ Witness Signature_ �
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OLD METER# ���' 1 �/�dO�o
OLD READING ����b�
NEW METER# ��22�0 ��--}
NEW READING �
ERT# ���� � lJ��
FRIDLEY 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 construding or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shail be uniawFul to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connedion.
402.06 REPAIRS APID MAINTENANCE TO CQNNEC770N
After the inittai connection 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 appticant,owner,or occupant or user of such premises shall be itable for ail repairs
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 shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer senrice 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191) •