Meter Swap ' ' Request Number: 12895
Public Works Division
Service Request
Problem Addresa: 7341 Symphauy St Requested By: Shirley �
Department: WA'IER Address: No adcfress provided
Problem/IBsue: INSTAL,L AMR ME'IER �hone Number: 763-786-0689 •
Schednled e• 2017-0 18 �.�, Sc6edgted'Rme: 07:OU:00
�
ACIION NEEDED:
Created by; We�y Hiatt Ds�te Created: 2017-01-17
At,'lI TAI�N: �
' s-�-�-�I� ,� ��
_____ _.�...._ _______._ .�_.__._..�.'..�..__�
�
�
��: ��,o � Sabmf tter Has Been C, �
� Coatacted
Date Completed: Com�eted by:
�LG/� '��::�,._..,
� - / - 1 � __ �,��;--_..
�
�r�,oT��,Qoey S o 1 � � � .�
Water Department
6431 University Avenue NE �l r�,.��`���
Fridley,MN 55432 7
.
" 763-572-3566
�SWe hereby authorize the City of Fritlley and/or its empioyees to s10 what is necessary to
reptace the water meter. !understand that the property owner is fiabte for the water tine from the main to the premise and afl iMerior
plumbing. {Per Crly sode 402.06) i also hold the City of Fridley andrts empioyees harmless#or any damages that may ocwr while doing this
operation. This to include,but not limi#ed to valves,piping,walls,floors or the curb stop box and service line. In understand!am also required
to obtain a permit prior to any wor{c,if necessary.
FINAL METER READING(oid meter) �"✓ �"-' �
Name: ��� Address J� v ,�
Phone Number �b�� ��� �0� p� l'' t.� ^ I�
.._. L'''"
.._.. _- ..----
Signature_ ..�� � . . ....�..�...._ Wttness Signature
.�
c..__,._._.
OLD METER������ �
OLD READtNG�� � � i V
NEW METER# �� `', ����O
NEW READING v
E�# �� `� �� S
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY 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 connecting the existing municipal system and arry house or building for which the
application is made,the owner or cor�traactor shall be required to obtain a permit for such connecfion,and shall pay a permii fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be nvNfied. it shall be uniawful to cnver
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been appro+red by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECI'ION
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 service tead has
been extended to the property line for connection,the appiicant,owner,or accupant or user of wch premises shaii be tiabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if d�e property ovrner
requests mairrtenance service or repairs be per�ormed by the City,the property owner shali be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shatl be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main indudi�debris dearing or
root cutting and to maintain the water service curb stop box for operabil"rty and at such height as wiii ensure that it remaira above the finished
grade of the land or property. (Ref 638,1156,1191)