Meter Swap � Request Number: 12532
,
Public Works Division
Service Request
Problem Address: 7500 Tempo Terr Requested By: Richazd Kla�r
Department: WA1ER Address: No adc�esa providad
Problemljsaue: INSTALL AMR ME'IER PLone Number: 763-355-4706
Sctiedul 20 - 2-27 �,9- Schtdaltd'Ifine: 07:30:00
� ��S � � �-� �f'� �
AC7ION NEEDED:AMR
Cresrted by: Wendy Hiatt Date Create�: 2016-�2-21
ACTION TAi�N:
�.5����a �.c�
St�as: Tn Progress ��tter Has Boen �..
Co�acte�
Da�te Compteted: i �,..�'�]� �f� Completed by:
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City of Fridley �� J`�- 's.�I 3 QO - O�
Water Department
6431 University Avenue NE
, Fridley,MN 55432 ,� ( �
763-572-3566 ��/ ` ��
,
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is{iable for the water fine from the main to the premise and a�l interior
plumbing. (Per City code 402.06) 1 also hold the C"�ty af Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
r��� � "3 ?�
FINAL METER READtNG(old meterj
Name: �`l�,�"t! � G1,u.E.� Address ��dC� ��'� l�Y`�
Phone Number ��J ����� 6 ��� Date ��' ��"� `�
��..Signature ''� Witness Signature ��`
OLD METER# �� v � l � �
OLD READING � lYd�'� ��v
NEW METER# '�//� � � � `� `
NEW READING �
ERT# \.C! � V � � � G �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(Ref Ord No 113,464,565,566,629,638,682,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to co�structing os repair of any water of sewer line connecting the existing municipal system and any house or Ixtilding for which the
application is made,the owner or corrtractor shall be required to obtain a permit for wch connection,and shall pay a pennit fee as provided in�
Chapter 11 ofi this Code. After wch connedlon has been made,the Water and Sewer DepartmeM shalt be natified. It shaN be unlawful to cover
any connecting line until an inspection has been made aad such wnnection and the work incidem thereto has been approved by ihe C�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inittel connection has been made to the water service curb stop box or the sewer lead at the property iine or a water service lead has
been extended to the property line for connection,the applicant,owner,or accupant or user of such premises shall be liable for all repairs
required to any water line and sewer fines necessary fior connection of the premises from the main to the premises. If the property owne�
requests maintenance service or repairs be pe�formed by the City,the property owner shaU be charged for the costs of the maintenance andior
repairs,including necessary street repairs at a rate set an�ualiy by an administrative policy. ft shall be the responsibility of the applipnt,
owner,occupant or user to perform standard maintenance of tfie sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that ft remains above the finished
grade of tfie land or property. (Ref 638,1156,1191)