Meter Swap , ` Request Number: 15421
Public Works Division
Service Request
Problem Address: 7108 Rivervw�od Dr Requested By: Mike Larson
Department: WATER Addresa: No address ptovided
Problem/Issue: INSTALL AMR METER Phone Nmnber: 612-91-4014
Scheduled Date• 2017-OS-19 � Schednled'lime: 01:30:00
� �
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-18
ACTION TAI�N:
,� .....����.��...�� :.��__.__.___.�...._._._.��1_.�....�.�..W___ _.___
Status: 1n Progress Submitter Has Been r..
Coutacted
Date Completed: � '�,r( ; Completed by: ��L �o
� � r �..
t City of FridleY f� ��d"
' Water Department r,, � 5�� � v
6431 University Avenue NE � (Y�
Fridley,MN 55432 C�� (���/
763-572-3566 J
��we hereby authorize the City of Fridley and/or its empioyees to do what Is necessary to
replace the water meter, t understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) i also hold the City of Fridley andJits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to va(ves,piping,walls,floors or the curb stop box and service line. In understand i am afso required
to obtain a permit prior to arry work,if necessary.
FINAL METER READ111fG(old meter) � ` 1�.�i V
Name: ����' �+ J(9(� Address V V �1 .
Phone Piumber �'�+� ~ 4�, "y �V � Date ��"��- 6 � � 1
�.—�---.�
Signature �tness Signature
OLD METER# . ��L��q � 1
OLD READiNG 3 7 7� c c� v
NEW MfTER#_ 1 ���� ! l �
NEW READING �
ERT# �� ✓� ��J10
FRfDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line cu�necting the existing municipaf system and any house or buiiding for wfiich the
appiication is made,the owner or coritractor shaii be required to obtain a permit for such 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 Departmerrt shaii be notified. It shall be uolawful to cover
any connecting line until an inspection has been made and such connection and the worlc incident thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAiN'TENANCE TO CONNECTION �
After the initial con�ection has been made to the water senrice curb stop box or the sewer lead at the property Itne or a wate�service lead has
been extended to the prope�ty line for connection,the applicant,owner,ur occupant or user of such premises shaii be tiable for ali 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 mair�tenance service or repairs be perforsned by the C'rty,the property owner shall be charged for the casts of the maiMenance and/or
repairs,inc{uding necessary street regairs at a rate set annually by an administrative paiiry. It shall be the responsi6ility af the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service fine from the premises to the main indudi�g debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such heigfit as witi ensure that it remains above the finished
grade of the land ar property. (Ref 638,1156,1191)