Meter Swap � Request Number: 12710
Public Works Division
Service Request
Problem Address: 7358 Sympho�+St Requested By: John
Departmeat: WATER Address: 7358 Sym�hoiry St
Fridlay, 55432
ProMem/Iasne: INSTALL AMR ME1ER Phoa Nmnber: 763-443-5�17
3c�ednled Dsite: 17-01-06 Scbedrled 1lme: 07:30:00 �
� , '
I
ACIION NEEDED:lnstatl AMR '
;
i
Crerted by: Beth Kondrick Qrte Cres�ed: 2017-01-0�
i
I
I'
ACIION TAI�N: j
i
�
I
�
�
i
�
- -I
�
- i
(
�
I
�
t
�
Statoa: In Progress Sabmitter Ha�Been r, i
Contacted �
�
Date Completed: Completed by:
� � � � � .�'. .�`.,_.� ' --------•------'__...__.
/ �
I
�
�
I
i
;
i
I
,
�
City of Fridley
Water Department � ( � � f _
" 6431 University Avenue NE l �P
Fridley,MN 55432
� 763-572-3566 � ��-—Sa"���G���'�-
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the C'rty of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to inctude,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any woric,if necessary.
1 � ���`�l�
FINAL METER READING(old meter) �
Name:�, �Y�-'Y�• Address_ 1 ��� �Y'�..L��� � � �1
Phone Number
`l�`�`-l�3 -�I7 0� 1 - �- r �T�T
a
Signature Witness Signature ""`��•~
OLD METER# `
�C�� 0 V � � �
OLD READtNG_ �7 � � t� 1� �
I
NEW METER# �� \, �� � 1 I
�
I
NEW READING � �
���� b�1,� p � ,
ERT#_ j
�
i
FRIDLEY CITY CODE �I
CHAPTER 402.WATER,STORM WATER ANO SANRARY S�WER
ADMIN ISTRATION �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,�.156,1191)
402.5 PERMIT FEE i
Prior to constructing or repair of any water of sewer tine connecting the ezisting munidpal system and�rry house oc building for which the
application is made,the owner ar co+�tractor shall be required to obtain a permit for wch wn+�ection,a�d shali pay a permit!ee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Oepartment shall be notified. it shall be uniawful to co�r
any conoecting line until an irrspection has been made and such connection and the woric incident tJ�ereito has beert approved by the Ctly as a
proper and suitable connection. ,
i
402.06 REPAIRS AND MAINTENANCE TO CONNECTION �i
�
After the initial connectio�has been made to the water service arb stop box or the sewer lead at the pkoperty Ilne or a water service Iead fws
been extended to the property line for connection,the applicairt,owner,or accupant or user of such pr�mises shal(be liabie for aN repairs
required to any water line and sewer lines necessary for connection of the premises from the main to tf�e premises. If the properry owner
requests maintertance service o�repairs be performed by the City,the property owner shatl be c�arged�or the costs of the rrraintenance artd/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairttenance of the sewer servPce line from the premises#o the main includi�debris dearirrg oc
root cutting and to mair�tain the water service curb stop box for operabil'rty and at such height as will er�sure that it remains above the flnished
grade of the lar+d or property. (Ref 638,1156,1191j
i
f
�
I
i
�