Meter Swap '�► Request Number: 13438
1
Public Works Division
Service Req�rest
Problem Address: 1191 Hathavvay Ln Reqaested By: Jewe1
Department: WA1ER Address: No address provided
Problero/Issue: INSTAI.L AMR ME7ER P6ane Nnmber: 612-751-2127
Sc�eduted Date: 2017-02-17 � 5+eLeduled 15me: 08:30:00
, ��Z �
ACIION NE�ED:
Created by: Wendy Hiazt Ds�e CresUed: 2017-02-13
ACIiONV�A����
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Status: Tn Progress Su�tter Hwa Beea �
Contacted
Date Completed: Completed by:
2 - 1`l _" ` I �'�,..�l�v�
,
�.�w'r�..y s+��1'aia Y.i1B�Gl/tl.
�431 iAn6versitgr�,vessa�e�t�
�rsdley, MN 55432 ;_h
� 7b3-572-3565 � i ` _'1...����]� � _P'1 � �� �,��
f �/�� here6y authorize the City af FrKlley and/or its employees to�Io what is necessary to
replace the water meter. �vnderstand that the QroAerty flwner 3s{iabte for the avater line�rom the main to the premise and all enterio�
plurrrbing. {Per Ciry�ode dOZ.06� i also hold the�'rty of Fridley and�ts employees harmless#or any damages tha�t may occ.ur white doing this
oper�tion. This#0 9ncfude,but not limi#ed io valves,piping,walls,floors or the curb stop box and senirce line. In understand!am also requir
to obtain a perm'rt preor To any wor4c,if necessary.
FIt1iAL METER READfNG(ofd meterj � � � � � � �
lYame•--- ��'""' ``�� Address l�v`
Phone Atumbet_Y✓ `��f� J 1� �j�� 1 Date �� � y'r 1� " ^
Signature Wftness Signature
OLD MIET�R#��� ��V ��'
Ol.D READti11G � � � � �� l/
[�EW MEfER# r ��� ��� 1
NEW READIhIG �
ERT# � ` �����
�RtDLEY�ITY Ct3DE
CHAPTER 402.WATER,STORM WATER AND SANITAttY SEWER
ADMiN1STRATION
(Ref Ord No 213,464,565,566,629,638,562,92Z,9$8,I144,1156,1191j
aaz.5 ���nrr F��
Prior to constructing ar repair af any water of sewer line cvnnecking the existing municipat system and any house or buiidir�for which tf�e
applicafiion is made,the owner qr cantractor shall be required to abtain a permrt for such connection,and shall pay a permit fee as provided irr
Chapter 11 trf this Code. After such connection has been rnade,the Water and Sewer Departmertt shall!se nottfied. f#sfiail be untawful to cove
any connecting line unti{an irrspection has 6een made and such connection anci the work inaderrt thereto has been appruved by the C(ty as a
proper and saitabte connectiare.
402.06 REPAiRS AfYD MA{11tTEt11qNCE TO CONKECi'IQM
A�'ter the inifial rnnnection has been made#o the water service curb stop box or the sewer lead at the prope�ty line or a Mrater service lead(�as
been extended tp the property fine for connecCion,the appiicarrt,owner,or accuparrt or user of such premises shaii be iiabie for ai�t^epeirs
required to any water fine and sewer lines necessary for connection aF the prerr�ises from the main to the premises. tf the propertp owner
requests mairr#enance seroic�or repasrs 6e performed by the City,the property owrter shall be charged for the costs af the mairttena�and/or
repairs,inciuding�ecessary s�treet repairs at a rate set annuaity 3�y an administrat�ve pol'scy, it sfial!be t�e responsrbil'ity of#�e appiicarrt,
owner,occuparrt or user io perform rtandard mairrtenance of the sewer service line from tf�e premises to the main induding debris dearing or
root cwtting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remair�above the fintshed
grade of#he land or property. (Ref 638,1156,1191)