Meter Swap r Request Number: 15621
Public works Division
Service Request
Problem A,ddress: 180 Stor►ytnook Way Requested By: Keith'Thoreson
Department: WATER Addreas: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-458-4488
Scheduled Date: 2017-06-OS .—�r� Sc6edaled 11me: 02:00:00
1
ACIION N�EDED:
Created by: Wendy Hiatt �te Created: 2017-OS-30
ACIION TAKEN:
. ���.���_.......�_�� ._....__.
Status: In Progress Sebmitter Has Beea r,
Co�acted
Dnte Camptated: Completed by:
�p">' i� � GO'r'
�
City o�F�odley �1'�"�����' �c3-
, Wa�er Departevaent
. 6431 lJniversity Averoue NE �� ����
Fr6d9eyo MN 55432
763-572-3566
1/we hereby authorize the Gty of Pridley and/or its employees to do what is neoessary to
replace fihe water meter. t understand that the property owner is liable fo�the rvater line from the main to the�remise and ali interior
p4umbing. (Per City code 402.06j i aiso hold the City of Fridley and�ts employees harmiess for any damages that may occur wh[le doing this
operation. This to indude,but not limited to valves,piping,wal(s,floors or the curb stop 6ox and service line. In unders�nd!am also requirc
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter� ��� ��"�
Plame• ���� qcldress l � V"
Phone Number��� L 4✓ � ' �+� p� ����
�S'=�r Witrsess Signature_
OLD METER# � ��J ����
OLD READING � �� � ��� ` � � s no c,�►bi 11 a�tae r e s�-.
NEW METER# ��(�� Z�
NEW READING �
E�T'# � V��� (J�J
FRtDLEY CITY CODE
CHQF�TER 402.WATER,STORM WATER AND SAIYtTARY SEWER
ADMINISTRATION �
(ttef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERflAiT FEE
Prior to constructing or repair of arry water of sewer iine connecting the existing municipal system and arry house or building for which the
application is made,the owner or co�tractar shall be required to obtain a permit for such connection,and shall pay a permit fee as pro+rided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. k shall be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incide�thereto has been approved try the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIRlTEPIAPiCE TO COPINECTION
After the initial connectiort has been made to the water service curb stop box or the sewer lead at the property line or a water seroice lead has
been eutended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and semrer lines necessary for connection of the premises from the main to the premises. If the¢roperty owner
requests rteaintenance service or repairs be perPormed by the�ty,the property owner shail be charged for the�of the mairrtenance and/o�
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shail be the responsibi(ity of the applicar�t,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris dearing or
rovt cutting and Lo maintain the raater service curb stop box for operability and at such height as witl ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)