Meter Swap �, �-- Request Number: 13233
Public Works Division
Service Request
Pro�em Address: 940 Hathaway Ln Requested By: Rosalyn Gustafson
Deput�eut: WATER Address: 940 Hathaway Ln
Fridley,MN 55432
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-572-3880
3chedvled Hatc: 2017-02-0 ScLedaled 1ime: 11:00:00
'7�r-, a rv�
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-02-02
ACIION TAI�N: �
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Status: In Progccss Submitter HAe Bcen �,
Co�sicted
Date Compieted: �— �— 1`� com�a�t�a�: � ���
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�t,�°� hereby authorize#he�ity of Fridley and/or its employees to slo what ds aecessary
� replace#he water rneter. 1 r�nderstand that�he propee�ty owner u�iabie for the watee line feom the main to the premise and a0 imerior
plumbing. (P,er C'rty code 402.06� i also hold the City af Feidley and/its employees harmless for any damages t�at may occur rrhile doing th
opera'tion. This to 6nctude,#wt nat limtted to valves,p�ping,walis,floors or#he curb sto�a boz ar�d service lir�e. In understand I am also req+
to abtain a perenifi pr'so�r Co any�,ror�C,if�ecessary_
�FIA1A1.METER READiNC(oW meter) �a � q� c..ec�
l�ame: _�S�, ��. Cj(iv�t'L�''�dress l' l�� ��crt..�-a,.tr/ r'� ��-—
Phone Plumber���"'v J�a ""� d��j� p� � ' �"" Y�
S"�tatetre yVttness Si�ature '_—
o����R#_ ���5 � � ��
OLD READtNG ��c� �� a
R�EW METER# � � �� � � 7�
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FR(DLEY CiIY CtJDE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
�Itef Ord No 113,�4,565,�66,529,638,662,922,9$$,1144,I156,1191}
402.5 PEEtMiT FEE
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Prior to constructing or repair of any water of sewer line connecting the existing municipa(system and arry fiouse or bu�idir�far�,rhich the
appiication is made,the owner or comaactor sha(1 be required to abtain a permit for such cannection,and shali pay a permit fee as provided i
Cha�rter 11 of this Code. After such connection has been rnade,the Mlater and Sewer Departmerrt shall be notified. R shall be untarrfui to crn
aray connecting fine until an inspection has 6een made and such connection and the wor�c inaderrt thereto has been approved by the C'ity as a
proper and w�ta6te connection.
402.06 REPAIRS AND MAINTEMANCE TO CQMNECTION
After the initiat connection has been made to the water service curb stop box or the sewer lead at the property line or a water service tead fia;
been extended to the property line for connection,the appiicarrt,owner,or occuparrt or user of such premises sF�at!be liabie for a(I repairs
required�to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
reyuests mairrtenance senrice or repairs be perFarmed by the City,the proper+ty owner shaii be charged fvr the costs af The mai�rtenance and/�
repairs,inciuding necessary nreet repairs at a rate set annuaity by an adminisira#i�e policy. tt shali be the respor�sibii'rty of the appGcarit,
owne�,oceuparrt or user to perfiornn standard mairrtenance of the sewer service line from the premises to the main dncluding debris dearing or
root cutting and to mairrtain#he water service r.iirb stop box for operability and at such heiglrt as wiii ensure that it remairis above the finishec
grade of#he land or property. (Ref 638,1156,1191)