Meter Swap �.__.._._�.�
,� Request Number: 16019
` Public Works Division
Service Request
Problem Address: 291 Sylvan Ln Requested By: Dustin
Department: WA1ER Address: No address provided
ProblemlIssue: IN5TALL AMR ME1ER �'hone Number: 651-587-9334
Scheduled Dat • 2 17-06-16 � Scheduled 11me: 08:00:00
� t
ACTION NEEDED:
CreAted by: Wendy Hiati Dite Cre9ted: 201?-06-15
ACTION TAI�N:
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Status: In Progress Submitter Has Been f..
Contacted
Date Completed: Completed by:
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�ity of�rid9ey ` � � Y��pLS �� � �,2„
11{�'ater�epartrvecen�
� 6431�niversity Averoue NE �,� �3�
F�odley,MN 55432
' 763-572-356�
t/we hereby autho�ize the Crty of Fridfey and/or its emp(oyees to do what is necessary to
replace#he water meter. i understand that the property owner is liable tor the water line from#he main to the Qremise and all 9nterior
plumbing. (Per�L'�ty code 402A6j !also hold the Cfiy of Fridley and�ts employees harmless for any damages that rnay occur while doing this
operation. This to include,but not limited to vafves,piping,walls,floars or the curb stop box and service line. In understand 1 am also require
to abtain a permit pcior to any wor&,�f necessary.
FINAL METEK READMG old meter ������
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Plame: Address_ f7�"4� J y'�•V"�N �.•h,�
Phone 9Yumber p� !�—��—1,
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Signature Wimess 5ignature �
OLD METER# _ { � ��Q�1
OLD READING i������
NEW METER# �q�. �,�a.�
NEW READtNG _ �
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FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER�►ND SANITARY SEWER
ADMINISTRATION
(ltef Ors1 No 11.3,46�t,565,556,629,538,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Privr to construttiog ar repair of any water of sewer line connecting the existing municipat system and any house or 6uilding for which t4�e
appltcation is made,the owner or contractor shail be required to abtain a permit for such connection,and shall paY a permit fee as prodided in
Chapter 11 of this Cade. After such connection has been made,the Water and Sewer Department shal(be notified. It shall be un(awfut to cover
any connecting line unti{an inspection has beert made and such connection and the work incident thereto has been approved by the City as a
�roper and witable connection.
4Q2.06 REPAIRS AMD MAIfUTENpWCE TO COPtNECTION
After the initia4 connection has been made to the water service cur6 stop box or the sewer lead ax the property line or a water servtce{ead has
heen extended to the property tine for connecfion,the appticarrt,owner,or occuparit or user of wch premises shall be IiaWe for all repairs
required to any water{ine and sedver lines necessary#or connection af the premises from the main to tt�e premises. tf the�roperty 4wner
requests mairrtenance service or repairs be perFormed by the Gty,the property owner shall be charged for the costs of the mairrtenar�c:e and/or
repairs,including necessary street repairs at a rate set annualty by an administrative poliry. !t shaU be the responsibility of the applicasrt,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main including debris clearing or
root cutting and to mair►tain Che water senrice curb stop box for operabitity and at such height as wiil ensure that it remains above the finished
grade o#the land or property. (Ref 638,1156,1191)