Meter Swap , Request Number: 15697
�.
Public works Division
Service Request
Problem Address: 8100 Ruth St Requested By: Bonnie Melby
Departmeut: WATER Address: No address p�ovi�d
Problem/Isauec INSTALL t1MR METER Phone Number: 763-780-2815
Scheduled Date: 2017-06-06 Sc6ednled 11me: 11:30:00
---T" �-,I�, �" '�
ACITON NEEDED:
Crexted by: Beth Kondrick Date Created: 2017-06-0 l
ACTION TAi+�N:
�ws-�..11 At��.
Status: In Pro�ess Snbmitter HAs Been r
Contxcted
D�te Completed: Completed by: _ �
�—�-- �� �' Cor—
�
�Coty of Fridley �� /�,,� �1 GjGj /�� � I
Wa�er Departnaent ��� � < < 7
6431 lln6versity Averoue NE �l� �����l
� Fridiey, MN 55432 �� �J
� 763-572-3566
+,'"�e hereby authorize the Crty of Fridley and/or its empioyees to do what is�ecessary to
replace the water meter. t understand that the pro�oerty owner is liabie for the water fine from the main to the premise and all interior
plurnbing. {Per�ity code 402.06j 1 also hoid the Gty of Fridiey and/its employees harmless for arry damages that may occur whiie doing this
operation. This to include,twt n+at 1"smi#ed to valves,piping,walis,floors or the curb stop box and service line. in understand!am also requirE
to abtain a permit prio�to any worlc,if necessary.
FINA!METER READIN6(old meter) � �� ���
Piame• �� Address_�IJ��J��i�
PhonelYumber 11��"�����r�_ Date � w `�CJ^ y�
ignature,,,,,,� t/Vl„ Witness Signature _
OLD NlETER# � �o� a� y S
OLD READtNG � UV � �E,XJ
NEW METER#_�- 4 lili� 1��I
NEW READING O
��#��L22�1 ��
FRIDLEY CfTY CODE
CHAt�TER 4�02.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing ar repair of any water of sewer line connecting the existing munictpat system and arry house or buitding for which the
application is made,the awner or cantractor shail be required to obtain a permit for such conoection,and shall pay a permtt fee as provided in
Chapter 11 of this Code. Aft�ch connection has been made,the Water and Sewer Departmerrt shali be�otified. it shall be unlawful to cover
any connecting line urrtil an h�ction has been made and such connection and the work incider�t thereto has been approved by the Crty as a
proper and suitable co�nection.
402.06 REPAIRS AND MAINi'EPIANCE TO COPIPIECTION
After the initiat connection has been made to the water service curb stop box or the sewer iead at the property line or a rvater seroice lead has
been extended to the property line for connection,the applicarrt,owner,or occuparit or user of such premises shatl he liable for alt repain
required to any water line and sewer fines necessary for connection of the premises from the main to the premtses. If the property oarner
requests mairrtenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/ar
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility aF the applicartt,
owner,occupan#or user to perform standard mairrtenance of the sewer serrice tine from the premises to the main incfuding debris dearing or
root cutting and xo mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the Iand or property. (Ref 638,1156,1191j