Meter Swap �
`` Request Number: 13242
Public Works Division
Service Request
Problem Address: 1011 Hathaway Ln Requested By: Ken
llepartment: WATER Address: No a�ress provided
Problem/Issue: INSTAL,L AMR METER Phone Number: 5'72-3949
5ched�ded Date: 2017-02-07 Sc6ednled 1ime: 09:00:00
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ACIION NEEDED:
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Cres�ed by: Wgndy Hiatt Date Cre�ed: 2017-02-03
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ACIION TAI�N• _
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St��: In Progress Sabmitter Hu Beea � . .
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Date Completed: �- �— � � Completed by:
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��35.i9niverstt�e 1�ven�ae 9V� �� ,� � j�' /
Fradle}/,61itMl 5543Z
�. 753-5��-���5 �l 1 -�I�� ��� - a 1 /'
+ '��°� her�6y authorize the Cifiy af Fridley and/os its empioyees to a10 what ds necessary
regalace the water rnetec. i�nderstand tt►at the g�ropea-ty oavner 6s diabte for the wafier{ine from the enain to the premise and all irrterior
plumbing. (Per Crty code 4Q2.06� 1 adso hold the City�f F�idley and�ts employees harmtess for eny�lamages thaC may occur rrbile doing th
o�er,ation. This�to include,bufi not lim�ted to vaiyes,p�ping,walls,f9oors or ttee cue�b sto�o i�ox and service lir�e. In understand 1 am also req�
to obtaira a permit prioR to arry�eror4c,�f aecessary.
FIRtAL METER READttiiG(old meterj _ � � � D 3 �
Name:. ��• `, Address Lv � � �,��\�'�f.+w''C3/ �V'�
Phone Num �� p` "'3 ` -1 _ Date �� � � ��
Sigrtature � �
Wtiness S'�gnature
OtD METER# o�.�J� L! ��"' l.�
OLD READIiyG_ � v�� �11J V
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FRIDLEY Cil'Y CODE
CFlA►i�TER 402.WATER,Si'ORM WA�ER AND SANITARY SEWER
ADMI'NIS'T[iA'TION
(Ref Orti No 113,4�64,565,566,629,538,662,922,988,I144,1155,i191j
402.5 PERMIT FEE
Prior to constructing ar s�epair of ar�y water of sewer line connecting Che existing municipa(system ar►d arry house or buiidir�gfor which the
application is made,the owner or corttractor shalt be required to obtain a permit for such connection,arn!sha11 pay a permitfee as provided i
Chapter 11 of this Code. After such connection has been rnade,the Water and Sewer Department shali be notified. It shail be untawfu!to crn
aray connecting line until an irrspection has 6een made and such c�naection and the wosk inciderrt thereto 6as foeen approved#ry the Gty as a
proper and suitable connection.
402.06 REPAlRS ARiD�rtR11NTE111qNCE TO CONIYEC7'ION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a watQr seraice lead ha
been extended to the property line for connedion,the appliprrt,owner,or accupan#or user of such premises shali be Iiable for all repairs
reqaire�d to any water line and sewer lines necessary#or connection of the premises from the main to the prem�es: if the property owner
requests ma�rrtenance senrice or repa�rs 6e performed by the C'ity,the property owner shall be char�ed for fihe�ofi the mairrtenance and/<
repairs,inciuding r�ecessary stseet repairs at a rate set annuaity by an administrative poticy. �t shal!be tfie responsibiiity of d�e applicartt,
owner,uccuparrt or user to perform standard mairrtenance of the sewer service line from the premises to fihe main dncluding debris dear[ng a
soot cufiCing and to ma9rrtain the water service curb stop box for opewabili#y and at such 6eigFrt as will ensure that it remains above#he finishec
grade of the land or property. (Re#638,1156,1191�