Meter Swap ` Request Number: 15500
Public Works Division
Service Request
Problem Address: 137 Talmadge Way Requested By: Nola Gilbertson
DepArtment: WATER Address: No a�ress provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 571-6831
Scheduied Date: 2017-OS-25 Sc6edaled 1lme: 11:30:00
I1�.
ACIION NEEDED:
CYeated by: Wendy Hiatt Date G}emed: 2017-OS-22
ACIION TAI�N: �
l� �� �
Statos: In Progress 5nbmitter Has Been r,
Conts�cted
Dnte Completed: Completed by:
�/��� � �
�
�R.:
�;
�
, City of Fridley �j / �iJ %�/�a � � �
Water Departrnent / ✓ �' v `���' `'�
�
6431 University Avenue NE � � � �
Fridley, MN 55432 � (.�
763-572-3566 �'
��We hereby authorize the City of Fridiey and/or its employees to do what is rtecessary to
replace tfie water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all ir�terior
plumbing. (Per City code 402.06) I aiso hofd the Ctty of Fridiey and/its employees harmless for any damages that may occur whlle doing this
operation. This to iridude,but not limited to vahres,piping,waffs,floors or the curb stop box and service line. lo understand i am also required
to obtain a permit prior to any warlc,if necessary.
FINAL METER READING(old meter) �� �O " O
� C �!. a�
Name: � t Address � �
Phone Number �� � Date ���v 'r `' '
�
�Signatur Witness Signature
OLD METER# ��`�� �� Z�
OLD READING ���U /U
NEW METER# _ `��fi�� i �
NEW READING�
ERT# � 2�� � �2�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,�r156,1191j
402.5 PERMIT FEE '
P�ior to constructing ar repair of any water of sewer fine connecting the existing municipal system and any house or buildingfor which the
application is made,the owner or contractor shal{be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such cortnection has been made,the Water and Sewer Department shail be notified. It shall be unlawfui to cover
any connecting line until an inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectlon has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or ocatpant or user of such premises shall be liabie for ail repairs
required to any water line and sewer{ines necessary for connection of the premises from the main to the premises. If the propertyr owner
requests maintenance service or repairs be performed by the C'rty,tfie property owner shail be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set a�nualty by an administretive poliry. ft shafl be the responsibifity of the appiicarrt,
owner,occupant or user to perForm standard maintenance of the sewer service line trom the premises to the main includi�debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as wiil ensure that it remair►s above the finished
grade of the land or property. (Ref 638,1156,1191)