Meter Swap � Request Number: 13489
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Poblic Works Division
Semce Request
ProMem Addreaa: 1358 Hillcrest Dr Requested By: Karen Clark
Departmeut: WATER Addreas: No address provided
Problem/�asne: INSTAL.L AMIt METER P6oee Numb�er. 572-7211
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Sc6eduled Date: 2017-02-21 Scheduled 11me: OS:00:00
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ACIION NEEDED:
Cre�ed by: Wendy Hi�t D�e Cre�ed: 2017-02-15
ACTION TAKEN:
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Strt�u: In Progcess Snbmitter H�B�ee �,
Contacted
Date Compieted: 1� a `--�t � Gompleted by:���
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�431 l�n6v��-sity Avenue Pl� � �.` _�`-�� (
Fridley,N!N 55432 l z
753-572-3566 � �I _� ����� --� .1
�!� herehy authorize the C'rty af Pridley and/or its empioyees to do what is necessary to
t reg�iace#he water meter, i vnderstand that�he�ropea�ty owner is diable fo:the water line from the main to the premise and all ir�terior
p!u►nbing. (Per City cosJe 402.06� i a(so hold the C'rt�/of Feidley and/'sts empioyees harmless#or any rlamages that may occur while doing this
operation. This to inctude,but not Bimited to vaives,piping,walis,floors or the cur'b stop box and service iine. In vnderstand!am also requir
to obtain a permrt prior to any�eror�c,if necessary.
FlNAL ME'fER READtWG(ukt mefier) id �g �C o
Name:��Y'` V�G.V� � Address��� V ��t(�7i'7�'" '�Y'•
Phone Number ���� � 0�'� � p� � � p�� �' t�]
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Signatur'e W4iness Signature '~
OLD MfTER#_v�lV'�����
OLD READtNG�i�/ /� /`�
NEW METER# __ {�v 1�����`
NEW RE�4DttVG �
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FRIDLEY CITY CODE
CHAPTER 402.WA'1'�R,Sl'ORM UVATER AND SANITARY SEWER
ADMIAlISTRATIUN
(Ref Ord No 11.3,4�64,565,566,629,b38,662,922,988,I144,1156,1191)
442.5 PERMfC FEE
Prior to constructing or repair of ar�y water of sewer line connecting 1fie ercisting mnniapa!system arkt arry hause rn bui(dingfo�w6ich the
application is made,the owner or corrtractor sha(I be required to obtaia a permit for such cannection,and shall pay a permii fee as prpvided in•
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt sha8 be notified. It shati be un(awful to cove
any connecting Iine uritil an inspectPon has 6een made and such connection and the work inaderrt thereto has been approved by the City as a
proper and switabte conneclaore.
402A6 REPAlRS AND MAIAITE�fANCE TO COMf�iECT10N
After the initial coRnectiort h�been made to the water senrice curb stop baK or the sewer lead at tfie property iine or a water serviae lead(�as
been extended#o fihe property line for connection,the appiicarrt,owner,or occupartt or user of wch premises shali be Itable for ail repairs
repuired to any water(ine and sewer lines�ecessary fvs connection of the premises from the main to the premises. If the property owner
requests mairrtenance service o�repairs 6e pesformed by the C"rty,the properi.y owner shafl be charged for the costs of the maimenance and/or
repairs,induding necessary stceet repairs at a rate set annuaily by an administrattve policy. It shatl be the responsbility of the applica�rt,
owner,occupant ur usQr to perform standard mairttenance of the sewer service line from the premises to the main�ncludPng debris ctearing or
root r.utting and to mairrtain#he water service eurb stop box for operability and at such height as wili ensure that it remaisu above#he t�nisf�ed
grade of the tand or property. (Re#638,1156,1191)