Meter Swap .
` Request Number: 16125
Public works Division
Service Request
Problem Address: 8275 Ri�rview Terr Requested By: Mary Lyun Smith
Department: WA'IER Address: No adc�ess provided
Problemllssue: INSTALL AMR METER Phone Number: 763-786-6198
SchedWed Date: 2017-06-27 Schedaled'IYme: 08:00:00
�T
U ,
ACT�ON NEEDED:
CreaEed by: Beth Kon�ick Date Crented: 2017-06-23
ACTION TAI�N:
.._.._._._l:._�'..�'��`�I_._� ........._�i��.._....._..........................__._____._..._....__._....__._._ ._�___�__._.._____
Status: In Progress Sabmitter H9s Beea r,
Contxcted
Date Completed: Completed by:
��-2�- I� ���
3��- ��� g��- a�
� City of Fridley �D� -I���
�
Water Departrnent ��r�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��WQ hereby authorize tfie Gty of Fridley andjor its employees to do what is necessary to
replace the water meter. 1 understa�d that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the Gity uf Frtdley and/its employees harmfess for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service fine. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER R ��� � � �
EADING(old meterj
Name: � �Address ���� �1"���W" IZJ�`�
Phone Number�Y-��� ! (J ^�`�� pa� �'��� ��
� Si nature Witness Signature
OLD METER# � `�' � �2 ��
OLD READING �"''���v
NEW METER# `'"� w `����
NEW READING �
ERT# ������`�'
�RIDLEY CITY CODE
CHAPTER 402.WATER,ST�RM WATER AND SAWITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to rnnstructing or repair of arry water of sewer line connecting the exist'sng municipal system and any house or building for which the
application is made,the owner or rnr�tractor shall be required to obtain a permit for wcfi connection,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 shafl be notified It shali 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 APID MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water seroice lead has
been entended to the property line for connection,the applicaot,owner,ar occupant or user af sucfi premises shali be fiabte for all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. If the Qroperty owner
requests maintenance service or repairs be performed by the City,the property awner shall be charged for tfie costs of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative po{iry. It sfiall be the responsibility of the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main includfng debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as witl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�