Meter Swap Request Number: 12592
Public warks Division
Service Req�st
Problem Address: 7512 Tempo Ten Requested By: Fritz
Departme�: WATER Addresa: No address�xovided
Problem/Issue: INSTAI,L AMR METER Phone Nmnber: 612-?01-2031
Schedal te: 016-12-Z8 �� 5c�ed�led Time: 11:30:00
�` � J
AG1iON NEEDED:
Craated by: We�ty Hiatt Date Creatcd: 2016-12-27
' AiC'IION TAi�l�t:
�-� 5 �� c ��c� �-t�.R..
�
St�: In Progress Submitter I�aa Bcea r,
Coatacted
Date Co eted: „ � _.. Co eted : f�
�M (� , a� �� �� � �S' G
��„* ,
, 4y
'7be.
City of Fridley ���, � /�/ ��
~ Water Department } ` � �
6431 UniversityAvenue NE _S a�� ��`�"3
Fridley,MPI 55432 � �5
763-572-3566
�/we hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. I understand that tfie property owner is tiabie for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06� I alsa 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 vatves,piping,walis,floors or the curb stop box and service line. In understand 1 am afso required
to obtain a}�ermit priar to any work,if necessary.
FtNAL METER READING(oid meter) � � � ` ���
Name: �rr� �tZ. Address 1 � �a �C'fM�C ""{ t'1r'v�'-
Phone Num �2 ..., �d _��� Date ��� �� � `�
� Signature Witness Signature ��
OLD METfR# �� � ( � � C!
OlD READfIHG �`�� � ✓ ��
NEW METER#_�� � t � l�J �� ,
NEW READING �
ERT# � � ��� � 1��
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiNISTRA'PION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,115b,1191)
402.5 PERMIT FEE
Prior to constructing ar repair of any water of sQwer line connecCing the existing municipal system and arry house or building for whid►the
appiication is made,the owner or co+�tractor shaii be required to obtain a permit for such connection,and shal{pay a permit fee as provided in•
Chapter 11 af this C�e. After such connectian has been made,the Water and Sewer Department shati be notified. tt sfiait be unlawful to crnner
any connecting line urrti{an irtspection has been made and such connectian and tfie work incideM thereto has been approved by ihe City as a
proper and suitable connection.
402.06 REPAiRS AND iNAINTENANCE TO COMNECTION
After the initial co�nection has b+een made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for conneciion,tfie appl�cant,owner,or occuparrt or user of such premises shalt be tiable for all repairs
required to any water line and sewer lines necessaey for con�ection of the premises from the main to the premises. If the property owner
requests mairrkenance service o�repairs be performed by the City,the property owner shati be charged for the cosis of the mair�tenance and/o�
repairs,inciuding necessary street repairs at a fate set annually by an administrative policy. it shali be the responsibility of the applicar�t,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main inciuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure tfiat it remains above the finished
grade of the land or property. (Re#638,1156,1191�