Meter Swap � Request Number: 13355
�
Public Works Division
Service Req�st
Pro�em Address: 1040 Haclnnanr►Circle Requested By: Shirley
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 5�'4-9179
Schednled Date: 2017-02-13 Scheduled 11me: 11:30:00
�� �
ACTION NEEDED:
Crexted by: Wendy Hiatt Date Craated: 2017-02-08 �
ACIION TA�N:
�� ����� ������
�
� ;_
\�3 .
�. ��
Status: In Progress Snbmitter Has Been r �-
Contxcted
Dxte Completed:�.." �� ��� Comp�eted by: 1� �
I,l
�'. �
�"'��.
r.u,Yu....r y,rc�ae y.19AtC118.
6431 i9niversit�/�ver�ue�I� � � � � ��
Ersdley, MN 55432
753-572-3566 � ( � ��-� /lp �� �('�._� �� /
� /
�/�i°� here6y authorize#he Cifiy o#Fridley and/or its empioyees to slo what Bs necessary ta
} replace the water rne#es. !�nderstand that the properl:y owner u 1ia61e for the water line feom 2he main to the premise and af{imerior
pfumbing. (Per Cityr sode$02.06j t also�hold the Cit��of Fndley and�ts empioyees harmless#or any damages tfiat may occur while doing this
operatian. This�o inctude,but not limrtec!to valves,piping,walis,#loors or 1:he curb stop boz and service line. In understand 1 am also requi[
to obtain a permrt prior to any wor{c,i#a►ecessary.
FIti1fAL METER READtNG(a4d meter)�7 � ,�
Name:���7 T 1� r '`C`-� Address�_t1 �� { l a�/�'�h�Llr�'L n ��'L��
Phone 9�umber � /� '� t 1 f 1 Date _ � � ��j � 1�
Signature Nf'rtness Signature
oLD���R� `�q t 83� �o
OLD READItVG�� ! CJ G�
i�iEWMETER# �� 6V � C�CJp�
NEW READliVG v
�R�#_ �1l � 1 � `� 57 �
FRIDLEY C1T1(CODE
CHAPT�R 402.WATERr S60RM WATER AND SANITARY SEWER
ADMINISTRATfON
(RBf 01"d NO].130�64'S65f S66a 629j 638�662�922r 988�1144•�1155,i191]
402.5 PERMiT FEE
Prior to constructing or repair of any water o�F sewer I�ne wnnecting the existing municipai system and any house or buiiding for which the
appiication is made,the oamer or coMxactor sha(1 be required to ubtain a permifi for suc6 connection,and shall pay a permit fee as provided i�r
Chapter 11 of#his Code. After such co�nectioc�has been made,fihe Water and Sewer Departmerrt shali be notified. it shail he uatawfui to cove
any co�necting line until an irrspection has been made and such connection and the wurk incaderrt thes'eto has been approved by iire C'rty as a
proper and suitable connection.
402A6 REPAiRS AriiD 11AAI9N'fEAiANCE 70 COMNEC770N
After the inifiial connection has been made to the water service curb stop box or tt�e searer lead at the property line vr a water service tead Fias
been extended to fihe property line for connection,the applicarrt,owner,�r occuparrt or user aF such prem�ses sha11 be P�ab1e for ali repairs
required#o any water line and sewer t'snes necessary for connedion of the premises from the mai�to the premises. tf the property owner
requests maintenance senrice or repairs be perfarmed by the City,the property owner stiall be charged for the costs of the mairrtenance and/or
repairs,induding necessary street repairs at a rate set anaually by an administrative policy. it sbalf be the responsbil'ity of ihe appiicant,
owner,occuparrt or user to perform standard maintenance af the sewer service line from the premises to the main ancluding debru dearing or
root tutting and to mairrtain the water service curb stop box for operability and at such height as wiN ensuse that it remair�,s a6ove the finished
grade of the land or property. {Ref 638,1156.1191J