Meter Swap , .
° Request Number: 15576
Public Works Division
Service Request
Problem Address: ?100 Rivervwood Dr Requested By: M.E.Zachm�m
Department: WATER Address: No address p�ovi�d
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-1788
Scheduled Dnte: 2017-OS-31 ,S� Sc6eduled 11me: 10:30:00
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-25
ACTTON TAI�N:
........__��..-�'�-���..��__._................_...._�..���._...__._.__.. ____ �._
Status: In Progress Submitter Hns Been r
Contacted
Date Completed: ��3�--�� Completed by: ���
316 r ✓ �f�G!O� �`� '
• �ity of Fridley
' Water Departrnent �� � �/� /'�Z
6431 lJniversity Avenue NE {1���
Fridley, MN 55432
763-572-3566
��`"�e hereby authorize the City of Fridley and(or its empioyees to do what is aecessary to
rep{ace tfie water meter. 1 understa�d that the property owner is liable for the water line from the main to the premise and alt iMerior
piumbing. (Per City code 402.06� 1 also hold the C'ity of Fridley and�ts empfoyees harmiess for any damages that�nay occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop boz and senrice line. in understand t am also required
to abtain a permit prior to any work,if necessary.
FINAL METER READIAtG(old meter� � � �� / �O
Name• �� E . �W�.�U�. Address l ��v o�4�v�
Phone Number_�(D`3" � /�` G �V p� � ~ �1 —' �,�
Signature " Witness Signature �
OLD METER#_ ���` L G �j
OLD READING_ �` d 7 G 4O
NEW METER# `�q�aCe l� 7
NEW READING v
ERT# ��`�oC,� / o� � /
FRtOLEY ClTY CODE
CHA�'TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line rnnnecting the existing municipal system and any house or building fo�which t�e
application is made,the owner or contractor shafi be required to obtain a permit for such connection,and shail pay a permtt fee as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmer�t shaif be notifiied. it shall be unlawfui to cover
any connecting line until an inspection has been mede and such connection and the work incident ihereto has been appmved by the City as a
proper and suitabfe connection.
402.06 REPAIRS AIYD MAINTENAiYCE TO COMNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water serv(ce tead has
been extended to the property line for connection,the appficant,owner,or occupant or user of such premises shall 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. !f the property owner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the mairrtenance a�d/or
repairs.including necessary street repairs at a rate set annuaity by an administrative poliry. It shail 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 inctuding debris c{earing or
root cutting and to mairitain the r�vater service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)