Meter Swap . � Request Number: 12511
Public Works Division
Service Request
Problem Address: '7539 Tempo Terr Requested By: William Forester
Department: WATER Address: No a�ress provided
Probleml�ssut: INSTALL AMR ME1ER Pbone Number: 763-784-8360
Scheduled Date: 2017-01-49 Schedaled 1ime: 10:00:00
�
ACTION NEEDED:A11�IIt
Created by: Wendy Hiatt Date Crentcd: 2016-12-19
ACTION TAI�N:
i-�� S�L Glre-� ��'�:tZ,
Status: In Progress Sabmitter Has Been r,
Co�acted
Unte Completed: ,— ��-.�'] Completed by:
� -�--
� / _
City of Fridley
Water Department
�
. 6431 UniversityAvenue NE �j �j-������'"���
, Fridley,MN 55432 �o ' � I �
763-572-3566
�/We hereby authorize the City of F�idley 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 interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for 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 tine. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �� ��� v
Name: �4�I��fi'1,�1 �01�'�`�J�" � �►ddress ��?J l �t'��°'�-�� ��1�,
Phone Number �� � ��� � �J�� Date � � �' ��
_ _ �/
.--�-1
Signature Witness Signawre
l� � 9 , �����
OLD METER# � 1 ��v
OLD READING � �"'� J ��U
NEW METER# � 1 l f v� 1 I
NEW READING �
ERT# � v � V � i � �/
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer tine cannecting the existing muniapa!system and arh/hou�or buiWing for which the
apptication is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as�ded irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be naNfied. R shall be unlawful to c�ver
any connecting line urrtil an inspection has been made and such wnnedio�and the work inciderrt thereto has been approved by the Cky as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water senrke kad has
been extended to the property line for connection,the applicant,owner,or accupant or user of wch premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs.including necessary street repairs at a rate set annually by an administrative policy. R shail be the respons�bility of the appiicant,
owner,occupant or user to perform standard maiMenance of the sewer senrice line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operabil'ity and at such height as wili ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)