Meter Swap A Request Number: 15336
4
Pl1�C wOYkS DIV1S10II
Service Request
Problem Address: 4633 2 1/2 St Requested By: Dan
Department: WATER Addresa: No adckess pcovided
Problem/Iss�: INSTAI,L AMR METER Phone Nwnber: 612-801-4124
Sched�iled Ds�te: 2017-05-20 Schedaled 1lme: 10:00:00
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AG7ION NEEDED.����''�i�'��F'AT�REET If�''POSS�LE.HE IS NC1T SLJ�A�T�' : > -
C€lT��G3N E1F I$S II�d�IQE SI�J'F OFF VA�L..VES.
CresEed by: Wemdy Hiatt Date Created: 2017-OS-15
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ACTION TAI�N:
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Status: In Progress Snbmitter Has Been r
Contacted
Ds�te Completed: Completed by:
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City of Fridley `O/� T`�`� �� ���
Water Department � ��
6431 University Avenue NE �� �
Fridley, MN 55432
763-572-3566
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�/We hereby authorize the City of Fridiey and/or its employees to d '` ` ��i�ess�.ry tts
� �eplace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise a �1�inte�ior }
pC�trribing. (Per City code 402.06) 1 also hold the City of Fridley andJits empioyees harmless for any damages that may oaur while doing th�": .,
. - operation. This to include,but not limited to valves,piping,watts,floors or the curb stop box and serv�ce line. In understand 1 am also require?!
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) . 1�
Nam�;e;�� : 1�1�� �'1'��� 1.�� � }
Phone Numb�M��"��`� 'i��� Date � � ��" �? .
•�""'"�•_ .r— .,,.,,,..9
Signature_ � Witness Signature
OLD METER# i���� I�.�. `
OLD READING ��7.�� • ��O - r __--- -----
,�- -- - ---- _1
� NEW METER# � �� �
� � �������������� �������������' I ,�
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� 49225971 J' ✓
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NEI�EADING ��--- �"'
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ERT�o II�IIIIIIIIIIIIIIIIII ��
.��:� �
���.� 723551 OQ� FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4G4,565,566,629,638,6b2,922,988,1144,1156,1191)
4i�2.5 PERMIT FEE
Prior to constru4�,ng or repair of any water of sewer line�nnecting the existing municipal system and any house or building for which the
� appiication is made,the owner or contrador shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notif'�ed. It shalf be unlawful to cover
any conneding line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
''�: proper and suitable connectio�.
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402.06 REPAIRS AND MAINTENANCE TO CQNNECTION
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 servke kad has
been extended to the pFoperty line for wnnection,the applicarit,owner,or occupant or user of wch premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection 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�of the mair�tenance 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,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 finished
grade of the land or property. (Ref 638,1156,1193)
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