Meter Swap r
�� C'Tlj'OJ.
Fridley
Request Number: 17715
Public Works D�sion
Servlce Re�est
Problem Addrea:: 1581 Rice Creek Rd Requested By: Ism�l Gorse
Depnrtment: WA'IER Addreas: No address provided
ProMem/Issne: INSTALL AMR ME1ER Phone Number:
Scheduled Date: 2018-02-07 Sc�ed�led Time:
ACTION NEEDED:AMR
Created by: We�y Hiatt Date Created: 2018-02-07
ACIION TAI�N:
Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: Completed by:
. ` �l� ���7`�
City of Fridley
Water Department
6431 University Avenue NE .�t$ ����._.03
Fridley,MN 55432
763-572-3566 ��� �
1/we fiereby 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 to the premise and all interior
plumbing. (Per City code 402.06) i aiso 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 seroice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter)
Name: Address �s�� ���- Cycc,/.l ��
Phone Number Date �.-�-��a
�
Signature Witness Signature �
OLD METER# ��� �` �S / SIZE & STYLE(Circle) /�^""'v
OLDREADING �ao e a� ��,- � �
� � ��
NEW METER# �Iq 3 Ss0�5�-( 1" HEX
NEW READING v 1�" ELIPTICAL or HEX
ERT# ?a3 � ��i� �,�Jl,�-
2" ELIPTfCAI or HEX � �,,/
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FRIDLEY CITY CODE � ,,,0��
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 wate�of sewer li�e connecting the existing municipal system and any house or building for 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
Chapte�ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. lt shail be unlawful to wver
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 CONNECTION
After the initiai connection 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 connedion,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 connedion 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 annually by an administrative policy. It shall be the responsibility of the applicant,
owner,oaupant 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 finished
grade of the land or property. (Ref 638,1156,1191)