Meter Swap , � Request Number: 12533
Public works Division
Service Request
Problem Address: 7544 Te�o Ten Requested By: Corvvyn
Departme�: WATER Address: No�ess provided
Problem/Iss�ce: INSTALL AMR METER Phone Number: �63-213A053
Sciceduled Uate: 2017-Oi-OS Sc�eduted 1lme: 10:00:00
`T.� �
ACTION NEEDED:AMR
Created by: Weruly Hi�t Date Created: 2016-12-21
ACIION T k: . �
`n 1 �
� Y �� �`�1��
'��na: tn Progress Snbmitter Haa Been r
Co�xcted
�:i:�;.
Date Completed: Completed!ty:
t �' � " ��
�
City of Fridley � � I ���
Water Department
6431 University Avenue NE .3 �S�I�a �S`yD-�1--
Fridley,MN 55432
` 763-572-3566
�/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 irrterior
plumbing. (Per City tode 402.06) !also hold the City of Fridley and/'rts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop boz and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAt MEiER READtNG(otd meter) Y �� v ���
Name: 1�t1�� `{�- Address v V� � �C.�`1 \
Phone Number����������.J Date �`� �� �
�Signature - ����=-ffl�`—' Witness Signature
�.-__------
OLD METER#"1 J�V "1��S
OLD READING� 1�r� 1� v`�
NEW METER# �� �\����-' �
NEW READING V'
E�# �O���b�°15 �
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 construding or repair of any water of sewer line connecting the existing municipai system and ar�y house or buiidit�for whfch the
application is made,the owner or coMractor shatf be required to obtain a permit for such connection,and shalt pay a permit fee as provided i�r
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be�otified. It shall be unla�wfui to cover
any connecting line uirtil an inspection has been made and such connection and the work incider�t thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the pre�peny line or a water senrice kad has
been extended to the property line for connection,the applicant,owner,or occupar�t or user of wch premises shall be liable 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 C'ity,the properry owner shall be charged for the�of the maintenance and/ar
repairs,includFng necessary street repairs at a rate set annua!!y by an administrative paliry. !t shal!be the responsFbility of the applFca►rt,
owner,occupant or user to perform standard mairitenance af the sewer service line from the premises to the main induding debris cieartrig or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 63$,1156,1191)