Meter Swap �
y
� Request Number: 13339
Public works Division
Service Request
ProWem Address: 5930 Hac�Ave Requested By: Joyce Clmstie
Depxrtment: WATER ,�.eBS: 5930 Hacbna�ut Atie
Fridley,MN 55432
Problem/rsaue: INSTALL AMR ME'IER Phone Number: 612-220-2503
Sc6eduled Date• 2017-02-21 Schednled'flme: 09:00:00
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ACIION NEEDED:
Cres►ted by: Beth Kon�ick Date Created: 20 U-02-07
ACIION T
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Statua: In Progress ���er Haa Bcen �.,
Contacted
. Date Completed: Completed by:
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Z- 21 -��1 J `�--
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�t1late�-�epart�rtent
5431 iDniversity Avea�ue NE �_. ��
� Fridteya MN 55432 ��
� 763-572-3566 � :y�� ( � �.�� � '� �
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�/�e her�by authorize the Ciiy of Frtdley andJor its empioyees to do what is�ecessary to
replace#he water meter. !understand that the property owner�s liabie for the water line feom the main to the premise and all interior
plumbing. (Per Crty code 402.06� i also hold the City cf Fridley andJits employees harmless#or any slamages that may occur while doing th�s
operation. This to include,but not Iimited io valves,piping,walls,floors or the+curb stop box and service line. In undecstand i am also require�
to obtain a permit prior ta any i+vor9c,if necessary.
FINAL METER READING(oW meterj � �� ��
Name: c �/Y ,� J Address�i-�� � `1 �U�
Phone Number � � � h/?j�— ��
Date
Signature_�.-� Witness Signature
OLD METER#�� !� � 1��
OLD READlNG� �CJ�� ��
NEW METER# � � KJ�S4�O 3
NEW READING �J
ERT# � `� �"1 c��, 1
FRID4EY C1Tif CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,92Z,988,1144,Ii56,1191)
402.5 AERMIT FEE
Prior to constructing or repair of ariy wate�of sewer Itne connecting the existing municipal spstem and arry house or buiidirig for which the
epplication is made,the owner or cor�tractor sha(1 be required to obtain a permit for such connection,and shall pay a permit fee as provided i�r
Chapter 11 of this Code. After such connection has been made,the Water aod Sewer Departmerrt shall be rtotified. It shall be unlawfi�l to cover
any cvnnecting line until an irrspectian has been made and such connedion and the work inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inifiat connection has been made to the water service curb stop box or the sewer lead at the property line or a water servic�lead fws
been extended to the property line for connection,the applicant.owner,or accupant or user of such premises sFtiai{be liab{e for a1{repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. if the property owner
requests mairrtenance seroice or repairs be performed by the C"riy,the proper#y owner shafl be charged for#he costs of the mainterrance and/or
repairs,inctuding necessary street repairs at a rate set annuaily by an administrative policy. ft shali be ifie responsbility of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main�ncluding debris deari�g or
root cutting and to mairrtain the water service curb stop box for operabil"rty and at such height as will ensure that�t remains above the finished
grade of the land or property. (Ref 638,1156,1191j