Meter Swap �
� Request Number: 13335
Public Works Division
Service Request
Problem Address: 1001 Hac�Circle Reqaested By: Charles Carlson
Department: WATER ��.�g: 1001 Hac�Circle
Fridley,MN 55432
Problem/Iasue: INSTALLAMRMEIER PhoneN�ber: 763-571-0463
Scheduled Date: 2017-02-15 Schedeled 11�e: 10:00:00
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ACTION NEEDED:
Created by: Beth Kot�drick Date Created: 2017-02-0'�
ACTION TAKLN:
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Statas: In Progress Snbmitter Haa Bees �,
Coatacted
Date Com�eted: Completed by:
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�r{/atee��e�ar�men�t
6431 lDnHvea�sii�y l�lver�ue N� � �' ��1 � �
Fridfey, MN 55432
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l,'''o� her�by authorize#he�'rty of Fridley and/or its empioyees#o slo what is necessary ta
replace#he water meter. 1�nderstand that fihe prope�.y owner as liabte for the water line frrom the rr►ain to the premise and all irnerioc
pfumfoing. (Pe�CFty code 402.06j i elso hold the�ity ot�aidley andrts employees harmless#or eny damages that may occur while doing this
operation. This#o include,but not limitecl to valves,piping,walls,floors or the curb stop�ox and service line. In understand 1 am also requii
to obtain a permit prior to any worlc,if necessary.
FtAiAL METER REApING(ald meter) ��� � � ��
lriame:(.,���_,�'���J�� Address b �/ � ����1.�� �.i1 ` _
Phone Number�j���� ���_��� ''� ��
Signature - Witness Signature
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OLD READIi�iG��� i ��� V
AiEW MET€R# 1 V�� �� ��
NEW READifVG �
ERT'# � 1 �� �� ��
FRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Mo 113,464,565,566,629,638,662,922,98$,1144,1156,1191}
4Q2.5 PERMIT FEE
Prior to cortstructing or repair of any water of sewer line connecting the existing muniapal system and arry house or buitding for whicb the
apptication is made,the oarner or com�actor sha(I be required to obtain a permit for such connection,and shait pay a permit fee as providetl in
Chapter 11 of#his Code. After such connection has been made,the Water and Sewer Departmerrt shaN be no#ified. it shall be untawfui to covE
arry connecting line until an irtspection has been made and such connedion and the work inciderrt thereto has been approved by the City as a
pro�er and suita6le connectivn.
402.05 REPAIRS AND MAIRITEMANCE TO CONNECTION
After ihe initia(connec#ion has been made to the water service arb stop 6ox or the sewer lead at the property line or a water senrice iead has
been extended to the property line for conrtection,the applicarrt,owner,or occuparrt or user aF such premises sf�atf be liabie for all repairs
required to any water line and sewer lines aecessary for connection of the premises from the main to the prem�es. tf the property o�rner
requests mairitenance senrice or repairs be perFormed by the City,the property owner shaU be char�ed for the�a�the mairrtereance and/o�
repairs,inciuding�ecessary sCreet repairs at a rdte set annually!ry an administrative policy. It shali be the respansibility of the applicarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from Che premises to the main dnduding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure tha#it remains afwve fihe finished
grade of the land or property. (Ref 638,1156,1191�