Meter Swap eque Number: 16339
Pu�c works Division
Service Request
Problem Address: 1545 Beme Rd Requested By: Wendy Jagt
Department: WATER A,ddress: No a�lress�ovided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 1-863-594-7048
Sc6eduled Date: 2 17-07-17 � 5cheduled 1ime: � 11:30:00
I���n .-� I�l ' l l'3v
ACTION NEEDED:
Created by: Wendy Hiatt Ds�te Created: 2017-07-17
ACTTON TAKEN: �
a--�t5�..�w� _____��.r.._._�._.�--
5tatus: In Progress �bmitter Haa Been r
Coutacted
Date Completed: "'i� �� ` .1� Completed by: r���
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, water�e�aa-tment �� l���CI�
C431 lJraiversity Avenue NE
Frisll�y,MN 55432
7�3-572-3566
�''"�� hereby authorize the City of Fridley and/or its employees to do what is necessary to
reptace the water meter. l understand that the properry ovvner is liable for the water line from the main to the premise and alt iriterior
plumbing. (Per Ciiy code 402.a6j 1 also hold the City of Fridley andPts employees harmless for am/damages that may oacur while doing this
operation. This to include,6ut�ot limited to vatves,piping,wa{is,floors or the curls stop boz and service line. in understand 1 am aiso requir�
to abtain a perm�t prior to any wark,if necessary.
P4NAL AAE1'ER READ{NG(oid meter} ��� ��-� �
Name• ��1 W� � Address_ �� �� �'�n I K �.
Phone Number �'�V� `� � ~ �V _w Date �� � ` � ��
Signature Wi#rtess Signature ��
OLD METfR# � L �� C�'� � V
OLD READING 6 � � ��V U
N��,��-�R# '�93557� a
NEW READItVG �
E�# �l�'� i � � � �
(s
� FRtDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAFtY SEWER
ADMINlSTRATION
(ttef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
� Prior to constructtng ar repair of any water of sewer line connecting the existing muniapal system and arry house ar bui(din�for which the
application is made,the awner or contrador shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shalt be notified. !t shail be uniawfui to cover
arry connecting line until an inspettion has been made and such connection and the work incidenfi thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CORINECTION
After the initial connectio�has 6een made to the arater service curb stop box or the sewer lead at the property Ifne or a water servke tead has
been extended to fihe property line for connection,the appiicarrt,owner,or occuparrt or user syf such premises shall be iiable for all repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. tf the�roperty ow�er
requests mairrtenance service or repairs be perFormed by the Crty,the property owner shall be charged for the costs of the maiMenance and/ar
repairs,including necessary street repairs at a rate set annualty by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of tfie sewer service line from the premises to the main includtng debris dearing or
root cutting and+to mairnain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land ar property. (Ref 638,1156,1191)