Meter Swap } � ► �
�
�
c���Qr
Ftidley
Request Number: 18006
Public Works INNision
Serw�ce Request
Problem Address: 4949 3rd St Requested By: Nick Elmc�uist
Departmeut: WATER Address: No address provided
ProblemlIssue: INSTALL AMIt ME1ER Phone Number: 612-296-0045
Sc�eduled Date: 2018-03-30 Schedaled 11m�: 10:30:00
� ' r� 0'� C�; 30
ACIION NEEDED:AMR 1"
Created by: Wendy Hiatt Date Created: 2018-03-28
AC7ION TAi�N:
,
___.__...._________......w___._��.........__................�. ._ _._ .._.___._......_......._.._...______...._______._........_.__....___._......
Stntus: In Progress, Snbroitter Has Been r
Contacted
Ds�te Completed: Completed by:
/��� �d �0�'
�i
�
City of Fridtey
Water Department
6431 University Avenue NE �`� �G��
Fridley,MN 55432 r�'���
763-572-3566 s G�� (p �7�
�/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 liable for the water line from the main to the premise and ail interior
plumbing. (Per City code 402.06) 1 also 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 valves,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.
FINAL METER READING(old meter)
Name: Address !�7 q _J�� �7
Phone Number �ate_ N /��/� ��O
Signature �rness Signature �firr�/`�
OLD METER# 1�3 0� �!�l2 s�zE & STYLE(Circle)
OLD READING 3 fU� ?y 7 a 5/8" HEX
NEW METER# `7 cl y`� �II� � � �
NEW RfADING � I 34" ELIPTICAL or HEX
ERT# 7��a ���7 ��e 2" ELIPTICAL or HEX
FRIDLEY CI'6''Y CODE
CHAPTER 402.WATER,S70RM WATER AND SANITARY SEWER
ADMINISTRATION
(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 connecting the existing municipal system and any house or bui{ding for which the
application is made,the owner or contrador shali 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 Departmer�t shall be notified. It shall be unlawful to wver
any connecting line until an inspection has been roade and such connectian and the worfc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead Mas
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali be liable far all repairs
required to any water line and sewer lines necessary for tonnection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shalt be the responsibility af the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the 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 will ensure that it remai�above the�nished
grade of the la�d or property. (Ref 638,1156,1191}