Meter Swap �
Request Number: 13404
Public Works Division
Service Request
Problem Address: 5829 Hackmann A�e Requeated By: Gregory Gacdaer
Depnrtment: WATER Address: No address providcd
Problem/Issue: INSTALL AMtt METER Phone Number: 763-571�8821
Schednled Date: 2017-02-2 5chednled 1lme: 09:00:00
3�
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-02-10
ACIION TAI�N:
_......._����;�..._._�`� ��`'�'�- ___. -
Status: In Progress Submitter Aas Been �
Coataacted
Datte Completed: Completed by:
� �
2
- Z3 - �� �
---�--- --.-_ . . _. �
�431 i�a�6v�rsity A�rerowe Ai� ��
. Fridley,fU�N 55432 �� �
f 753-57'2-3566 �
'j'"f� hereby authoriae#he C'rcy af Fridley and/or its employees to do what es necessarg to
replace the water meter. �understand that tfie property owner is liabte fos the water line#rom the main to the premise and a!I iMerior
pturraBing. (Per�ty code$p2.06j i atso�hold the Csty of Fridley andfats employees harmless#or eny darr►ages tt�at may occur while doing this
operstion. '1'9sis 8o incfude,but not Bimited to valves,p9ping,wal(s,floors or lthe zurb stop box and service line. in understand!am aiso requir
to abtain a permit prio�r to arry wor�c,i#necessary.
/� � 1r — �' 7 � � 90- dl
FtAIAL METER READIAiG(oid meter) � � F^�� f �
fYame: V► ��J"✓ � Address �� �/ � 1� F'���h h ��'�+
Phone Number ��� M V� �ate �-��I+ ��
Signatare - W�b�ess Signature
otD nn���# �u �`� � � (
OLD READii+dG _ � (r� �`�1 _] �
41iEW ME!"ER#_� 1 d� fV �� t t
NEW READtNG O
ERT#� � � � 1 �Q JO �
FRfDLEY CITY CODE
CHAtr4'ER 402.WATER,STORM WATER AND SANITARY SEWER
Aonnir�isr�►norr
(Ref Ord No 123,464,565,�66,629,638,662,922,988,1144,II56,1191)
402.5 PERMIT FEE
Prior to constructing or repair af any water of sswer line conneciing tfie existing muniapa[system and arry{h+ause or buiiding for which the
appl4cation is made,the owner or corrtractor shatl be�equired to obtain a perm'rt for such connection,and shali pay a perm�fes as provided irr
Chapter 11 of fihis Code. After such connection has t�een rrsade,the Water and Sewer Departmerrt shall be natified. !t sha41 be untawful to cove
any connecting line until an ir�spection has been made and such r.�nnection and the work inaderrt thereto has been appraved by the City as a
proper and suitabte connect;on.
402.05 REPAiRS AND lkiAllUTEtYANCE TQ CONNEC7'ip1Y
After tFie initia!connection has been made to tfie water senrice curp stop boK or the sewer leae!at the property iine or a water senri�lead has
bee�+nactended to fihe property line for connection,the app{icarn,owner,or occupa�or user of such premises shaH be liabk for eI)repairs
required ta any water line and sewer itnes necessary#ar connecGion of the premises fmm the mai�to the premises. tf the properly owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be cbanged for the costs of the mairrter�ance and/or
repairs,induding�ecessary street repairs at a rate set annuai(y fsy an adminisq�a#ive poP�cy. It shat!be the responsibility af die ap�licariC,
owner,occupanfi or user to perform standard mairrtenance of the sewer service line from the premises to the maia indudirig debris dearing or
root cutting and to ma+rrtain the water service curb stop box far operability and at such height as wili ensure ti�at tt remains a6ove the finished
grade of#he land or propes�ty. {Ref 638,1156,1191]