Meter Swap ,.
" Request Number: 13436
Public Works Division
Service Request
Problem Address: 1050 Hathaway Ln Requested By: Able
Department: WATER Ar�dress: No address provided
Problemllss�: INSTAL,L AMR METER Phone Namber: ?63-200.3138
Schednled Date: 2017-02-21 Schedale�1ime: 01:30:00
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AC7ION NEEDED:
Created by: Beth Kondrick Date Created: 2017-02-13
ACTiON TAKEN:
1� ���,,11�d. �,
Sts�tus: 1n Pro�ss 5abmitter Has Been r,
Contaeted
Date Completed: Completed by:
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Fridley,MN 55432 ��' �
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763-572-3565 a l� �� �-� 3�� �a I
t��"0� hereby aufihorize xhe City uf Fridley andjor its employees to do what is necessary to
� replace the water meter. 1�understand that the propea�l:y owner is liable for the+erater line feom the main to the premise and ail irnerior
pluenbing. (Per City code 402.06) i also hold the e'tty of Fridiey and/'rrs employees harmless#or any damages that may occur white doing this
operation. This to include,but not Bimited to valves,p�ping,watls,floors or the curb stop box and service 1ine. In understand 1 am also requir
to obtain a permit prio�r to arry�ror4c,if necessaey.
FINAL METER READtAIG(old meterg �� � �J ��V
Aiame•_�1Q� Address,� � � ) �...� �^-l�ltiJOU►./ '-�'`
Phone�tumber�'P`� �i������ p� �j Z`" ,,
Signature Witness Signature � �—
o�o�,�ER#_�� �y I� 8s
OLD READING ` S� . , � tJ
NEW MEfER# �� ` O� � � ..J
NEW READING O
�R�� � � $ZC� �5 � .
�RIDLEY CiTY CODE
CHAPTER d02.WATER,STORM WATER AND S�RIITARY SEWER
ADMINISTRATION
(Ref Ord Pto 113,454,565,566,629,638,662,922,988,1144,I156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of arry water af sewer line connecting the euisting municipal system and arry house or buiidir�g for which the
appi�cativn is made,the owner ar contractor sha(f be required to obtain a�ermit for such connedson,and shall pay a permii fee as provided im
Cha�rter 11 of this Code. After such connection has been rnade,the Wate�and Sewer Department shall be nottfied. !t shaii be unlawfui to c:ove
aray cvnnecting Gne until an ir►spection has been anade and such connection and the work inciderrt thereto has been approved by the C'rty as a
proper and suitable connection.
4p2.06 REPAIRS AI1tD MAISlI7'ENqAICE TO GON11iECTIQN
After the initiai cortnection has been made to the water service curb stop box or the sewer lead at the property line or a water servic�e lead has
been extended to the property line for wnnectian,the appSicarrt,oarner,or occuparrt or aser o#suci�premises sha(I be lfaWe for a)I repairs
required to any water l�ne and sewer!'snes necessary#or,connection of the premises from the mai�to the premises. tf the property evrner
requests maintenance service or repairs be performed by the City,the properly owner shail be charged for the costs of#he mais�tenance and/or
repairs,including necessary street repairs at a rate set annuaify by an administrative poPuy. �t shatl be the responsibitity af the applicar�t,
owner,occupant or user to perform standard mairrtenance of#he sewer service line from the premises to the main incfudirig debris dearing or
root cutting and ta mairrtain the water service curb stop box for operabil'sty and at such height as wiii ensure that it remains above tlte f(nished
grade af#he land or prvperty. lRef 638,1156,1191)