Meter Swap r
Request Number: 9996
Public Works Division
Service Request .
Problem Address: 525 53 1/2 Ave Requested By: Ke�n Cleberg
Department: WATER Address: No address provided
ProblemiIssue: LEAKING METER Phone Number: 612-803-6719
Scheduled Date: 2015-04-22 Scheduled Time: 07:30:00
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�4CTION NEEDED:Change leaky meter.
Created by: Wendy Hiatt Date Created: 2015-04-21
ACTION TAI�N:
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Status: In Progress Resident Contacted C3
Date Completed: Completed by:
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� - City of Fridley
- . ._ _. .. WatPr Department
... _, _, ._. _.
6431 University Avenue NE
�ridtey,MN 55432
(763)572-356fi
1/we hereby authorize d���11 uf Fridtey and/or its
employees to do what is necessary to replace the water metea f understand lfiat the preperty owner
—is 1ia61e far the water line from the main to the premise and all�t����r piumbing. (Per I�j►code
402.06y i.alsa hold the Ci�y of fridley and/its employees harndess r any am�+es maY
while doing this operation. This ta indude�but not limited ta;val�ps�PiPi�g.arafls,floors or the curb
stap box and servics line. f understand I am alsa req�ired to�n�R��tt P�or to any work,if
necessary.
�nai meter reading[old meter) �� ,
Name•
Address: ���. ���f Z
Phone Number: �• ` ���l '
Signaivre:
Wifiess Signature:
FRIDLEY CI"iY CaDE
CHAPYER 402.WATER,STDRM WATER,AND SANiTARY SE1N�R
ADMINISTRA710N
(Ref Ord No 113,464,565;566,6Z9,G38,662,9Z2,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connectingthe e�dsting municipal system and any house •
ar bui{ding for which the appfication is made,the owner or cant�acta�shall be required ta obtain a permi�for such
conrtection,and shall pay a permit fee as pruvided in Chapter 11 of thi�Cnde. After 5uch cant►ection has bee�
made,the INater and Sewer Department shall be notifled. It shali be unlawFui to cover any connecting line until an
inspectiun has been made and such connection and the wark incident thereto has heen approved by the Qry as a
properand suftable connection.
402.(16.REPAIRS AND MAINTEIVAPICE T�CONNECTIQN �
���Q�. �...,.,+..r►,p ��rpr service cufi stoo hnx ar the sewer lead at the propert'
line ar a water service or sewer lead has been extended to the property line for connecdon,the appHcant,owner,
or the occupant or user af such premises shalf be liable foc a{I�epa�s required to any water tine and sewer lines
necessary for cannectian of the premises from the main to the pr�nises. if the prope�ty owner requests
maintenance serv�ce or repairs 6e.performed 6y the Cfty,the Property owner shail be cfiarged for the costs of the
maintenance andJor repairs, induding any necessary�treet repairs,at a rate�et annually by an administradve
policy. It shai{be the resporrsibility of the applicantr owner,occupant or user to perform standard mafntenance of
• Che sewer service line from the premises ta the main including de6ris clearing or raot cutting and to maintaln the
water servic�curb stop box for oparability and at such height as un11 ensure that it remains ahave the finished '
_ � .. . ._ . . . . �
��grade of ttie�land or�rop�r�y.�(Re�63�,�#.�5;-t�:��:� _.. . .._ _.._ ._. ._ ..... ... . _... _.... ..._...