Meter Swap � Request Number: 15683
Public Works Division
Service Request
Problem Address: 7121 Riverview Terr Requested By: Bradley
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-0470
Scheduled Date: 2017-06-26 5c6ednled'Rme: 02:00:00
JGC/'L.Q. �
ACTION NEEDED:
Created by: Beth Ko�rick Date Created: 2017-OS-31
AGTION TAI�N:
._._._...___.._.__.�....______...........__....._._..�....��wl��%�._ .__._. __....__ ___
Status: In Progress Snbmitter Has Been r,
Coatacted
Date Completed: Completed by:
�0�'��
�i'�O�i�9'9C��21f �/(�r�/� �i � �U L
� �{ � 7 i---
. W��er Depa�t�aen� A'�t" � f�
• 643�l�nivers6ty Averoue NE Jv� �
FradOey, MN 55432
763-572-3566
�r`Afe hereby authorize the C'ity of Fridtey and/or its empbyees to do what is necessary to
replace the water meter. I urtderstand that the�roperty owner is liable for the water li�e from the main#o the premise and all irrterior
plumbing. (Per�ity code 402.06) 1 also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operation. '�his to indude,but not lim'rted to va(ves,piping,wralts,floor�s or the curb scop box and service line. In understand!am aiso requirv
to obtain a permit priv�to any work,if necessary.
F9NAL NfEI'ER READING(ald meterj ���� ���
Name• Acldre�s � ��� �1Ut'��(�U `7t�L� ..
Phone lYumber Dat�___ �i'j—a�Y �� '
Signature Witness Signature
OLD 1V6ETER# _ � 1(�� �� � p� '
OLD READING_ �C�� SO`�V
NEW METER#__ . _ V L�S ��E? I�
NEW READING �
ERT# _ ( �� `�,���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAttY SEWER
ADMiNfSTRATfON �
(Itef Ord No 113,464,565,566,629,638,662,922,988,I144,1156,1191j
402.5 PERMi7 FEE
Prior to constructing o�repair of arry water ofi sewer line connecting the existing municipal system and any housQ ar bu'sWing for which the
application is made,the owner or cantractor shall be required to obtain a permit for wch canoection,and shaii pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaii be rtotified. It shall be unlawful to cover
any connecting line urrtil an inspectian has been made and such connection and the work inadent therefio has been approved by the City as a
groper and suita6le connection.
442.06 RfiRAlRS AND MAINTEiVAPiCE TO CONNECTION
After the initiai connection has been made to the water service curb stop boec or tfie sewer lead at the property line or a water seroice(ead has
been extended to the property line for connection,the appiicant,owner,or occuparrt or user of wch premises shali be liable for ail repairs
required to any water tine and sewer{ines necessary for connection of the premises from tfre main to the premises. tf the property oarner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maimenartce andJor
repairs,including necessary street repairs at a rate set annually by an administrative po4iry. #t sfialt be the responsibil'rty of the appiicar�t,
owner,occupant or user to perform standard mairrtenance af the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrt�ain the water service curb stop box for operabiiity and at such height as will ensure that it remains above fihe finished
grade af the land or praperty. {Ref 638,1155,1191)