Meter Swap ' Request Number: 12474
Public Works Division
Service Request �'�,
Problem Address: 7548 Tempo Ten Requested By: Mr Klingle
De�rtme�: WA'IER Address: No a�ress provided
Problem/Iss�: INSTALL AMR METER Phoae Number: 763-786-2059
Sc�eduled 201 - 1 Sche ed Time: Q2:00:�
��� C � �-- �,
ACIION NEEBED:
Creat�by: Wendy Hiatt Date CreAted: Z016-12-1 S
ACilON TAI�N: �,
����� �� �`�
Stx�: In Progcess Submitter Har Been r,
Co�acted
�
Date Complated: t� — � i-� � t,� Completed by:
�
� City of Fridley � �, � � �'� �
Water Department
. 6431 University.Avenue NE ,�� �'�v.�l
� Fridley, MN 55432 � � �-�� `
763-572-3566
1/we �r' 1�--t l���1�`� hereby authorize the City of Pridley and/or its employees to do what is necessary to
replace the water meter. I underst�d that the property owner is liable for the water line from the main to the premise and all irrterior
piumbing. (Per City code 402.06) I also hold the C'ity of Fridley and/i#s empioyees harmless for any dama�es that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and sen+ice fine. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ��� � � �
Name• I'M'r, L'�1 V� ��--' Address �y � � ����,�� ��r✓'
Phone Numbe�/��3 � ��V� Date '��\' `�
�r (
��'S�,natur� '! ✓ _� Witness Signature � G1°�I l��'
v
`� �O� �9� �9 ��
OLD METER#
OLD READING � �� I ��O °
;
NEW METER# �� I I v� ��
NEW READING �
ERT# � � � � � � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNtSTRATION
(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 any water of sewer line con�ecting the existir�g municipal system and arry house or buildi�for which the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After sucfi connection fias been made,the Water and Sewer Departmerrt shall be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connecfion has been made to the water servtce 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 app{icant,owner,or occuparit or user of such premises shaii be fiaWe for all 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 mairrtenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrattve poliry. R shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)