Meter Swap . �/
� . Request Number: 14539
Public Works Division
Service Request
Problem Address: 7523 Tempo Terr Requested By: Loren
Departme�: WATER Address: No a�ress provicDed
Probleml7sane: INSTALL AMR METER Pbone Number:
Sci�dnled D�s: 2017-04-OS Sehednled Timc: Ol:30:00
ACIION NEEDED:
Created by: We�dy Hi�x Date GSre�ed: 2017-04-05
ACIION TAI�N:
�
Status: In Pro�ress ���er Hsu Been r,
Contacted
Ihte Completed: Completed by:
�"�� � � ,
City of Fridley
• ' Water Department
6431 University Avenue NE _���--�-(�(
Fridley,MN 55432 �!� i2
753-572-3566 �(�� ��� /
ijwe hereby authorize the City of Fridley andJor 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 ta the premise and alt interior
plumbing. (Per City code 402.06� I also hold the City of Fridiey and/its 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 box and service fine. In understand 1 am also required
to ohtain a permit prior to any work,if necessary.
� � ���
PINAL METER READIN6{old meter) �
Jf� '�] �a �� �
Name: ���1� /�!� /�i� Address t c..� _ �� �f'_
Phone Number 7i Jy-�- `� d�� Date '"� � �
Sign e ' Witness Signature
ULD METER# 1_J 1 �
OLD READING tt �Q V W��
NEW METER# V���V�/ Ot
NEW READING �
ERT# 4���C/�4J��✓� �
FRIDLEY C{TY CODE
CHAPTER 402.WATER,STORM WA7ER AND SANITARY SfWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191)
402.5 PERMIT PEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and arry house or building far which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall he notified. It shall be unlawfui to cover
any coonecting line untit 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 MAINTENRNCE TO CONNECTION
After the initial connection has been made to the water senrice wrb stop box or the sewe�lead at the property line or a water service lead has
been extended to the property line for connection,tbe applicant,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water fine and sewer lines necessary for con�ection of the p�emises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shatf be the responsibility of the appiicant,
owner,occupant or user to perform standard maintenance of the 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 hei�ht as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
�