Meter Swap � Request Number: 16933
Public works Division
Service Req�est
Problem Address: 7411 Tempo Terr Requested By: Phoebe Masakara
Department: WA'IER Address: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scbeduled Date: 2017-09-08 Sc6eduled T'ime:
AC"�ON NEEDED:
Created by: Wendy Hiatt Dnte Created: 2017-09-08
ACTIOPi TAKEN:
Old meter#18124554 Old reading:914650 New meter#4890760 ERT#71820668
Statas: Completed ���er Has Been r,
Cont�ted
Dnte Completed: 2017-09-08 Completed by: Jake Aspenson
Hours
City of Fridley 3 r �- Sz � 23� P d�
Water Department
6431 University.Avenue NE
, � , Fridley,MN 55432 � r'`
` 763-572-3566 �� � r�� J-���
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iriterior
plumbing. (Per City code 402.06j 1 also hold the City of Fridley and/its employees harmless far any damages that may occur while doing this
operation. This to include.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 work,if necessary.
I
FINAL METER READfMG(ald meterl � �� `� � �
Name: Address ! l �I ��"l�� �•1�{^ • I
Phone Number Date �� v � � l
Signature_;.1� r �``�ti+'C� ��-�. • Witness Signature ��
� �c�
O!D METER# � � ��� �'J �
�0LD READING � f 1 ��0
NEW METER# � ��`� � "� ��
NEW READING v
ERT# � c ��► � � � g � � .
FRIDLEY ClTY CODE .
CHAPTER 402.WATER,STORM WATER AND SANITARY 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 contractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided io
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be notif'ied. It shail be uniawful to cover
any connecting line untii an inspection has been made and such wnnection and the work incident thereto has been approved by the C�ty as a
proper and suitable connection.
�
402.06 REPAIRS AND MAINTENANCE TO CONNECTION �,
` After the initial connection has been made to the krater service curb stop box or the sewer lead at the property line or a water service fe -
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liabie for ali repairs �
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenartce service or repairs be performed by the CFty,the property owrser shall be charged for the costs of the mair�terrance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shail be the responsibii'rty of the appiipM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operabiliiy and at such helght as will ensure that it remains above the�nisHed
grade of the land or property. (Ref 638,1156,1191) �
1
W t `� � .�.. ,
�
� �.
A�
�����