Meter Swap c
Request Number: 16356
Public Works Division
Service Request
Problem Address: 1505 Ferndale Ave Requested By: James
Department: WATER Address: No address p�rovided
Problem/Tssue: INSTALL AMR ME1ER Phone Number: 763-571-2054
Scheduled Date: 2017 7- 5 � Schednled 1lme: 01:00:00
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ACTION NEEDED:
Crexted by: Wendy Hiatt Ds�te Created: 2017-07-17
ACTTON TAI�N:
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Status: In Progress Sabmitter Has Been r.,
Covtacted
Date Compl�ted: Completed by:
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, Ci�r o��rael0ey � � �./��
' Water�epartrrv��nt �
6433.l�niversity Av�nue NE
Fridl�y,MN 55432
7fi3-572-3566
1/we hereby authorize the City of Feidtey and/or its emp(oyees to do what is necessary to
re{�lace the wat2r meter. !understand that the properly owner is liable for the urater line from the main to the premise and all ir�teerior
plumbing. (Per�Lity code 802.06j I also hold the City of Fridley and/'�ts empfoyees harmless for any dama�es tfiat may occur while doing this
operatian. 7Feis to 9nclude,but not limited to vai�es,piping,walis,#loors or the curb stop boz and senrice line. in understand 1 am aiso require
to abtain a permit pr6or to any wortc,if necessary.
FIPIAL METER READIRIG(old meterj � L L-k/ � c..�.J
Name:c `�0\�� Address _ ��i:� �./c.� � �
Phone Number� � � 1 �� �,, �.- 2�'� �
�G"1 -
�;� ienatur Witness Signature
OLD METER# k� 1
oLD READ�N�a _ D 6 1 3Q
PlEW METER#_� 1 ����O t0
NEW READING�)
ERT# � ������ �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AAID SANtTAttY SEINER
ADMtNlSTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
� Privr to�constructing ar repair of any water of sewer line connecting the escisting municipal system and arry house or building for which fihe
applicatior+is made,the owrter or contractor shati be required to obtain a permit for wch connectiort,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 shaN be notified. !t shall be wnlawrfui to cover
arry connecting line untii an inspection has been made and such connection and the work inciderrt thereto has been appro+red by the City as a
proper and suitabie connection.
402.06 REPAttiS AiYD MAiNTENAIYCE'�COPIN�CTtON
After the initial connection has been made ta the water service curb stop box cr the seiver lead at the property line ar a water service lead has
been extended to the pmperty line for connection,the applicarrt,owner,or occuparrt or user of such premises shali be iiable for all repairs
required to any water tine and sewer{ines necessary#or connection of the premises from the main to the premises. If the property owner
requests mairrtena�ce service or repairs be performed!�y the Crty,the property owner shall be charged for the costs of the maintenante and/or
repairs,inctuding necessary street repairs at a rate set annual(y by an administrative policy. !t sha(I be the responsibility aF#he applicant,
owner,occupant ar user to perform standard mair�tenartce af the sewer service line from the premises to the main indudir�debris clearing or
root cutting and to maintain tbe urater seroice curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191J