Meter Swap � ` Request Number: 13326
Public Works Division
Service Request
Problem Address: 1329 Gar�na A�e Reqeested By: Mrs Palmer
Departme�: WATER Address: No address p�ovided
Probtem/Iss�: INSTAL,L t1MR METER Phone Number: 5741283
Schethiled Date: 2017-02-14 � Sched ed 1lme: 01:00:00
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AC110N NEEDED:
Created by: Weidy Histt Date Cre�ed: 2017-02-07
ACIION TAI� :
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Statua: In Pro ss 5ubmitter Ha�Beea r,
� Contacted
Date Compteted: Completed by:
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�431 iDniversii�A�ren�ae N� {' � � i ' � ,Vj
Fridley,61+l6�1 554�2 � ���
: ��3-s�z-355� .� � �.� y 7,��I k� �� �
�9/�ve hereby authorize the�'rty�{�ridley a�djor its em i
replace the water rneter. 1 c�nderstand that fihe ro e P�fees to do whxt Bs necessary
p p rty owner 9s liable for the�vater line from the main to tt'ee premise and all interior
plurrtbing. {Per Crty�ode 402.06j i also hold the City o#Fridley and/?ts employees harmless foe any slamages tha�t may occur wkei{e sloing t(�
o�erdtion. This to inciude,bufi not Iimited io valves,piping,walls,floors or the svrb stop 6oz and service line. In understand I am also req
to obtain a permrt prior to any�rorlc,�f necessary.
FINAL MEfEER READIAIG(old meterj_�� c � � � �
lYame: � V� �• �(ti{�"'�� Address I�V '� l, t/`��,�'�f�. �'Q—�
Phone Number�� \' � V� p� �j� �— �,�
Signature WP4�ess Si$nature
OLD METER#__�5��� �� JS
OLD READtNG ( �� � �� �
R1EW METER#"�� �/ �I d.�� 3
NEW READIIVG �
�R�# �t1g � � � l I �
FRtDLEY CiTY CCADE
CHAPTER Q02.WA?ER,STORM WATER�l4YD SANlTARY SEWER
ADM14NlSTRA'TION
(Ref ard No 113,4�64,565,566,629,638,662,922,988,1144,I156,i191)
402.5 PERM17'FEE
Prior fio,constructing or s�epair of any water of sewer fiine connecting the exisfing municipal system and arry hause oc bu7ding for which the
application is made,the owner or corrh actor shall be required to obfiain a permit for such connection,and s(�all pay a permit fee as provideci
ChapCer 12 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. tt shall be unfawfui W co
any connecting(ine urrtil an ir►spectivn has 6een made and such connection and#he worbc inciderrt thereto has he�er�approved by the C"rty as a
proper and suitable cpnnection.
402.06 REPAIR�AND MAfNTENANCE TO CONlYEC710N
After the inifiiaf connection has been made to tfie water service curb stop box or the sewer fead at the pro�rty iine or a rrater xrv6�e lead ha
been exfiended to the property{�ne for connection,tfie applicarrt,owner,or accu�rrC or user of such premises shat!t�iiabie fw�all repairs
required to ar�y water Iine and sewer lines necessary for connection of the premises from the main to the Qremises. if the property owner
requests mairrtenance senrice or repairs be performed by the C'rty,the property owner shail be charged for the�of the mairmerrance and/
repairs,inctuding necessary sCreet repairs at a rate set annually by an administrative potRcy, it sha4t be the sesponsbility af the applicarrt,
owner,ocEuparrt or user to perform standard maimenance oF the sewer serrice line from the premises#o the main�nduding debris dea�ing o�
root cutting and to cnair�tain the water service curb sCop box for operabilrty and at such height as wiit ensure that it remains ai�ove the flnishec
grade af#he land or property. {Ref 638,1156,1191)