Meter Swap � Request Number: 11528
Public Works Division
Service Request
Problem Address: 5866 2nd St Requested By: Dan Netko
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 612-201-1449
Scheduled Date: 2016-06-06 � � Scheduled'15me: 01:30:00
LQ
ACTIONNEEDED:Change 1"stoppedmeter.
Created by: Wendy Hiatt Date Created: 2016-06-06
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
�-6- �b
� - City oF Frid{ey
- . - � V61a#?r D+�partment .-- - -- � -
6431 University Avenue NE
Fridley,MN 55432
(763�572-3566
- � liwe 6ere6y authorize d��tY�f�dley and/or its
employe+e�to do what'is necessary to replace the water meter.�u�e��d that the propert�(awner
_lsliab(�for the water line from the main to the premise and ap interior plam6ing. (Per Ciq►cade
402,Q�) t.alsa hold t�e�ty�af Frldtey andJ'rts employees harmlessfnr any amages ma �
while daing this aperadon. This ta 9ndude,but not limited to;++���P�p��g•�ns�fi°°rs or tlue curb
�top box and servic+e tine. i understand i am aisa required to ohtai�a Perrnrt Prior to any wark�if
necessery.
final meter reading(old meter) v��^-�-�
Name• Address:� v� ` �� �
Phone Number� aate• ` �-
5igttaivre•
W�tness 5ignature;
�RIDLEY ClTY CODE
CHa,PTEEi 4Q�.INATEI�,STORM WATER,ANO�4NCi'ARY SEWER
ADMINtSTRA7'1UN
{Ref O�rd No 113,454,555;556,6Z9,638,562,922,988,1�.44,1156,1191)
40�.05.PfRMfT F€E �
Prior to constructing or repair of any vuater ar sewer line cflnnectingthe existing municipa!sys�em and any hause
ar building for which the appGcation is made,the owner or contractnr shall be required ta obtain a permi�for such
canrrectian,and shal)pay a permrt fee as pfavided in Chapter 11 of this t�de. After such cnnnection bas been
made,the 1Nater and Sewer Department shail be noti#ied. It shali he unlawful to caver any connecting line until an
inspection has heen made and such cannection and�the work incide�rt thereto has 6een app�oved by tfie City as a
properand surtable connection.
402.06.�iEPAtRS AND MAlNTE�VANCE TO�C4N�tECTIQRI
. �__� .._ aa+.,��water service curhstao box urthe sewer lead atthe propert'
��g���jpj�f rnnnari+nn r�ayl�c-.u.uw
line ar a water senrice or sewer lead has been extended to the prapertyline for cannectionT the applimnt,owner,
or the accupant or user afi such premises shaii be li�ble for aii�epairs�equired to arry water tine and sewer line�
ne�essary for cnnnection of the prernise�from the main to the premises, tf the propetty owner requests
maintenance service�r repairs he performed hy the City,the prapetty owner shaft be tharged for the cosk�of the
. maintenance and/ar repairs, inciuding any neces�ary street repairs,at a rate set annual(yby.an administrative
policy. It shall be the responsi6ility afthe appiicantr uwner,a�cupantor user tn pe�form�tandard maintenance of
' the sewer service line fram the premises ta the main including de6ri�clearing or raat cutting and ta mairitain the
water�ervic�curh stap box far operability and afi suth height as w�l ensure that it remains abave the finished .
. . _
� . r •f.o i�t. _ .C� : , ._.
.,,gracP"e of�t���tard or-�rop�r.y.��ReF 6�0,-�-�55,t� �� .. ._ .