Meter Swap , ` Request Number: 16934
Public Works Division
Service Request
Problem Address: 7417 University A� Requested By:
Department: WATER Address: No address provided
Probleml7ssue: INSTALL AMR METER Phone Namber:
Sched�iled Date: 2017-09-08 Sc�dnied 1lme:
ACTION NEEDED:
Created by: Weady Hiatt I�te Crented: 2017-09-08
ACTION TAtI�N:
Old meter#17358032 Old reading:OS 18700 New meter#48907595
Status: Completed Submitter Has Been �.,
Contacted
Date Completecl: 2017-09-08 Completed by: Jalce Aspenson
Hours
�oty�r[-r�aoey
Water Department , (��, `� �,/� �
6431 llniversity Avenue N�E 3�ro '' ��"I `f �J
Fridley,MN 55432 �� � ����
, 753-572-3566
` 1/we hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
repface the water meter. 1 understand that the property owner is liable for the water iine from the main to the premise and all ioterior
p{umbing. {Per C'tty sode 402.06) i also hoid tfie C'rty of Fridley and/its employees harmiess for any slamages that may occur while doing this
operation. This to include,but not lim'rted to valves,piping,walls,floors or the curb stop box and service line. !n understand f am also required
to obtain a perm'rt priar to any wor4c,if necessary.
FINAL ME7ER REAOtNG(otd meterj v ✓ � � � ��
Name: Address � � � I V ��V���,`� f�
Phnne Number p� q ` �J" ��
XSi�na#�ure�_ Witness Signature '"—'�
LILDMETER# l� �� �v��
OLD READl1VG_ V� � V /��
NEW METER# � � 1 O I � � .
NEW READING �
ERT# � � `� � � ` � � .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER '
ADMtNlSTRAT{ON
(Ref Ord No 113,4�,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMtT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa4 system and arry house or buiiding for which the
apptication is made,the owner or contractor shaff be required to obtain a permit for wch connection,and shap pay a permit fee as provided in
Chapter 11 of this Code. After such connection has Imen made,the Water and Sewer Departmerrt shall be notified. tt shail be un4awfuf to co�r
any connecting line untit an inspection has been made and such connection and the work inader�t thereto has been appraved by the Crty as a
proper and witabie connection.
402,06 REPA{RS AND MAINTENANCE TO CONNECTION
After the inttiat connectiort has been made to the water service curb stop box or the sewer lead at the property itne or a water service iead fias
been extended to the pro�aerty l�ne for wnnection,the applicarrt,owner,or accuparn or user ot such prem�ses shaq be Csable for aIf repairs
required to any water line and sewer fines necessary for connection of the premises from the main to the premises. tf the properiy owner
requests maintenance service or repairs be performed by the City,the proper[y owner shall be charged for the costs of the mairrtenance andJor
repairs,including necessary street repairs at a rate set anoually by an administrative policy. It shaH be the responsibii'�ty of the applicartt,
owner,occupan#ar user to perform standarc!maintenance of tfie sewer service line from t6e premises to the main including debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as wili ensure that it remains above the finisfied
grade of the land or property. (Ref 638,1156,1191)