Meter Swap .
� Request Number: 13434
Public Works Division
Service Request
Problem Address: 1064 Haclannann Circle Requested By: Daniel Jorge�on
Department: WATER Addresa: No address provided
Probiem/Iss�: INSTAL,L AMR ME1ER Phone Number: 612-810-0340
Sc6ed�il 2017-02-16 Sc6ednled 1lme: 08:OO:OU
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1
ACTION NEEDED:
Created by: Wendy Histt Datc Created: 2017-02-13
ACITON TAI�N:
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Status: In Progress Sabmitter H�Been r.
Cont�ted
Date Compieted: 1_ ` �� �� Completed by: ����
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..�.�.�.� �v�'r,rcre f.leA�C116. �
6431 i9naversity e�venue NE �0��,5��
fridteya MN 554�2
4 763-5?2-3566 � � � v-L� "� �.D / � �" (� �
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�,. �/w� hereby authorize the Ci�l:y af Fridley andJor its employees to do what ds necessary to
replace the water meter. 1 understand that the grope�.y s�wner is liabte for the wafiee line from the main to the premise and all imerior
ple�rrabing. (Per City code 402.06j i also hold the�ty of Fridley and�ts employees harmless#or arr�y slamages that may occur while doing this
o�eration. This to�nctude,but not Bimi#ed to valves,piping,watls,floors or ihe curb stop box and senrice line. in understand 1 am also requir
to obtain a permit prior to any�vorlc,if aecessary.
�FIfltAL METER READIAIG(otd meterj �� � � O
r►ame: 11 GLil�l;Q-� .�Ui`�1e.V�Sc?h Address�V� � ��.1'—�N'��'�'� 1.��`Y�CG� 'L°.
Phone Number UL�'" ��U `�3� Date �^ r�'� � t
Signature Nl�tness Signature �,
OLDMETER#_���v�V�--
OLD READING_ �O�(J � ! �
[�iEWMETER#_� �qV �� �g
N�1N REI0.DIN[G V
�R�� �1 ( 8131 �l C� �
FRiDLEY CiTY CODE
CH�4PTER 402.WATER,STORM WATER AND SANfTARY SEWER
ADMlNISTRATION
(Ref Ord Na 113,464,565,56b,629,538,662,922,988,1144,I156,1191)
402.5 AERMIT FEE
Rrior to constructing or repair of any water of sewer line connecting the eacisting muniapai system and arry house oc butlding for which the
appiication is made,the owner or coritra�ctor shall be requiced ta obtain a permifi for such connection,and shaD pay a permitfee as provided in�
Chapter 11 of this Code. After such connection has been made,fifie Water and Sewer Departme�shali be not�ed. tt shail be untawfui to cove
aray connecting tine urrtii an inspection has been anade and such connection and the work inademt thereto has 6een approved by#he City as a
proper and suitable connection.
402A6 REPAiRS AND MAIWTENAfliCE TO COMt01ECT10N
After the initial connecfiiort has been made to#he water service curb stvp boK or the sewer lead at the property iine or a warGer senrice�ad has
been extended to the property line for connection,the appticant,owner,or,occuparrt or user of such premises sF�att be liabie for a11 repairs
required to any water line and sewer lirtes necessary for conn¢ction of the premises from the main to tfie premises. if the property owner
reyuests mairr#enance service or repairs be perFormed by the C'ity,the property owner shail be charged for the tosts o#the maintenance and/or
repairs,includ�ng necessary street repairs at a rate set annually by an administrative poliry. R shal!be the responsbility of the applicarrt,
owner,occupant or user to perform standard maimenance of the sewer service fine from the premises to the main indudirig debris dearing or
root cufiting and to maintain the water service curb sfiop box for operability and at such height as wi(i ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)