Meter Swap �
f
Request Number: 16354
Public Works Division
Service Request
Problem Address: 5866 Haclanann A� Requested By: Wendy Martinson
Department: WATER A�ddress: Nv address provic�d
Problem/Issue: IN5TALL AMR METER Phone Number: 612-919-3125
Schedule te. 2017-07-20 5c6eduled Time: 07:00:00
�uN� � !�-�"�t
ACIION NEEDED:
Created by: Wendy Hiatt Dxte Created: 2017-07-17
ACTYON TAKEN:
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Status: 1n Progress Sabmitter Has Been �
Contacted
Date Completed: �.—�v �t"') Completed by: ����
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wa�er�e�a����� ��„�� �� (.--�
643�.llniarersity Avenue NE �
Fridt�ey,4NIV 55432
7�3-57'2-3566
B/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. !understand#fiat the�roperty owner is eiable far ihe r+rater line from the main to the premise and all�nterior
p{umbing. (Per�'ity code�Z.06) !atso hold the C"rty of Fridley andjits empluyees harmless for any damages that may occur while doing this
operatiam. This to inciude,but not limited to vatves,pipirt�walis,floors or tf�e curb stop box and service line. in understand I am also require
to obtain a permit prior to any r�vork,if necessary.
FINAL METER READIPIG(atd meter} � �3 d � v
Name: IN�{'WY �W'-�1�n.5dn Address �CJtQ(� �"�,L�..�v�,cY�.» �/-�.
Pf�one Number CO�Z." i � 1 � J�a 7 Date ��' �V ^ ��
Signature Witness Signature �-
Ol.D ME1'f R# � �� � � f � �
OLD READING � J � � � �
NEW MfTER# `� �� ��7�
NEW READING v
��� �7�,y 1 t� `� �
r-��n«r c�nr couE
CFlAPTER 402.WA�'ER,STORM WATER AND SANfTARY SEWER
ADMlNISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
482.5 PERMIT FEE
� Prior to constructing ar repair of any water af sewer line connecting the existing municipai system and arry house or buifding for whicfi the
appiication is made,the owner ar contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departrnent sha{(be notified. 1�sf�all be unlawful to cover
any connecting line uritil an inspection has been made and wcfi connection and the war6c incident thereto has beert approved try the Ctty as a
proper and suitabie wnnection.
4U2A6 REPAIRS AND MAfNTENANCE TO COPtNECTIQt�I
After the initiat connection has been made to the water service curb stop box or the sewer lead at the propetty nne or a water service fead has
been extended t4 the property tine for connecCion,the applicarrt,cwner,or occuparit or user of such premises sha(I be liab(e for ali repairs
required ta any water tine and sewer iines necessary for connection of the premises from the main to the premises, tf the property owner
requests mairrtenance service or repairs be performed by the C'rty,the pcoperty ovvner shaii be charged for the casts af the maintenance and/or
repairs,inciuding necessary stre�t repairs at a rate set annualty by an administrative potiry. tt shal!be the responsi6�lity of#�he appitcant,
owner,occupant or user to per€orm standard mairitenance of the sewer senrice line from the premises tv ihe main inctudin�debris ctearing or
root cutting artd to maimain the urater seroice curb stop box for operability and at such height as will ensure Chat it remairrs abave the finished
grade uf the land or property. (Ref 638,1156,1191'