Meter Swap ( �
�
' r;,�nf
� Fridley
Request Number: 17720
P�lic Worka Division
Service Request
Problem Addressc 5422 4th St Requested By: Paul Wiley
Departmest: WATER Address: No addrass provided
Problem/Issne: IIV5TAL.L AMR MEZER Phoae Nnmber: 1-415-572-8020
Sc6eduled Dxte;,, Schednled 15me:
n�i
ACIION NEEDED:AMR.You caa install ffirytime.Door is always open.
Crented by: Wendy Hiatt Date Cre�ed: 2018-02-08
ACTION TAKEN:
ZV� 5�. �l�e�___�..._��-�,L2--
Status: In Progress Snbmitter Iias Been r �
Contacted
Date Completed: Completed by:
�� �v `� ����
� • S��t��` _
2 � r - 5� �� i3� � ��
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its empioyees 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 all interior
plumbing. (Per City code 402.06) I atso 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 senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) r� ���� �� `�
Name: �G'�'►�� ��� Address �'-1�� � � ��
Phone Number �` `�rJ ��7��W�v Date � ~ v ��
J Signature Witness Signature —
� �.� ��
a `� �1C� �3 �
OLD METER# SI2E & STYLE(Circlel
OLD READING ��� I l JU 5/8" HEX
NEW METER# � t � I ` � �� 1' EX
�
NEW READING v 1�" ELIPTICAL or HEX
ERT# �aC��a � 5 � 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM 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 building for whtch the
appiication is made,the owner or wntractor shall be required to obtain a permit for such connedion,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 shali be not�ed. It shall be unlawful to cover
any connecting line until 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 MAINTENANCE TO CONNECTIOIY
After the initial wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff tfie property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of 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 service curb stop box for operability and at such height as will ensure that it remains above the fiaished
grade of the land or property. (Ref 638,1156,1191)
;-
� /�
V