Meter Swap w
� Request Number: 13086
Public works Division
. Service Request
ProW em Address: 212 Mercury Dr Requested By: Pat Eggers
Department: WA1ER �4ddress: No address provided
Problem/Isaue: INSTALL AMR ME1ER Phone Number: 651-888-1439
�F�V rN On c��l
Sckednled Date: 2017-01-30 �Scheduled'Ifine; 10:00:00
1 Q
ACTION NEEDED:New homeowner.Meter is missing and he ttrinks the water is off at the street.I show no
�evious vwrk orders for w�er shut off.*"*BILL***
Created by: Wendy Hiait Dxte Created: 2017-01-26
AC'IION TAI�N:
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ir ;,��-T-�11. �;� R� n ti �U C��J`.�C. �O N�� �� C.L.
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Status: In Progress Sabmitter Has Been r,
Contacted
Date Completed: Completed by:
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Wate�-�eparta�a,ent
6431 lOniv�rsityr Ave�aue AIE � l,' ;�j � i /
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Fridtey,MPi 55432 �•�g � /
� 763-572-3565 P�;,,J I �� —���3J7�'"�T v
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1/we hereby authorize#he Criy uf Frrdley and/or its empioyees to aio what is necessary to
replace#he water�neter. I understand that�he property nwner is liabte for the water line from the main to the premise and all iMerior
plumbing. {Per City code 402.06j 1 also hold the City of Fridley and/Fts empioyees harmless#or any damages that may occur while doing this
operation. This to include,but not Bimi#ed to aalves,piping,wails,floors or#he turb stop box and service line. in understand 1 am also require�
to obtain a perm'rt pr�or to any worsc,�f necessary.
FINAL METER READIPiG{old meter) !`-' �1 � ��-'✓ '�
Name• Address� �� ! 1 I t'��.�y
Phone Num _ p� �`�j�" � �
Signature i r ��^ � �'^�'J YVitness Signature
OtD METER# �� ��� �� L� O�
OLD READlA1G o� �� pO� v �"� ��� � �������
MEW METER#��,`7C� �j0�� �, ��c'w v��� � °'����
- . , '.�.4'>�,
NEW READING �
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ERT# � ���` �::..�� -�`� ' _ .
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 213.464,565,566,629,538,662,922,9$8,1144,1i56,1191}
.�
402.5 PERNIlT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapai system and arry house or Iwildi�for whid�the
eppiication is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be uniawful to cover
any connecting line until an inspection has been made and such connection and the work inaderrt thereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS AND MANVTENAfYCE TO CONNEC770N
After the inifiial connectio�has been made to the water service curb stop box or the sewer(ead at the property line or a water servi�lead has
been extended to the property line for connedion,the applicartt,owner,or accupant or user af such premises shaii be tiable fo�a11 repairs
required to any water line and sewer lines necessary for connection of the premises from the main fio the premises. If the property owner
requests mairrtenance service or repairs be performed by the C'rty,the property owner shail be charged fvr the costs of the matntenance and/or,
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. ft shati be the responsibil'�ty of the applicant,
owner,occuparrt or user to perform standard maintenance af the sewer service tine from the premises to the main iocluding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of#he land or property. (Ref 638,1156,1191)
�, ���'' ,- �; City of Fridley
���''�'�' Water Department
����� �
Address_� ( �, ��y�t; �,,,�,� �
Name ���LT'�'►�1,,, �J�i'h.e r`�t,c�
Date � '�-�— �j �
Old Meter Number � ��(�� � � �
Old Meter Reading � � 3�
Replacement No._ �,a 3 � � ,�
Replacement Reading �
Replacement Make_ ��t.0. �
ERT# a �c�3 � � � �
Replacement ERT#
Remarks: _ ��C ,Q,�� �/�-
Signed � � , /� '
I� � 1