Meter Swap �
. � Request Number: 13289
Public Works Division
Service Request
Problem Address: 1323 Hillwind Rd Requested By: Carma Dodge
Depsu�tment: WA'IER ,�.�s. 1323 Hillw�ind Rd
Fridley,MN 55432
Problem/tssne: INSTALLAMRMETER PhoneNnmber: 763-5�1-1954
Schedaled Date: 2017-02-13 Sc�edaled 11me: 11:00:00
rn � �`' � � Cc hn
ACIION NEEDED:
Created by: Beth Ko�rick Date Crerted: 2017-02-06
ACTI�N TAKFN:
�L`T��6��(!' ����
Stah�: In Pro ess Sabmitter Aaa Been �, j
� Contaeted
DAte Completed: a,– �� —�� Com�eted by
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�43�Un6vQrsi�tvf Averocae N� � (� � � ��
�ridtey,MN 554�32 u �/ � C� r
753-�72-3565 ,� � � - 1 � 35 � �� ` , /
� �/�°� hereby authorize the�'rty�f Fridley andJor its empioyees to cio what necessary
' reglace the vra$er meter. 1 vnderstand that�he propea�ty oarner u liable for the yvater line#rom the main to the premise and ali ir�terior
plumbing. (Per Cr"ty�osle 4fl2.069 0 adso hold Yhe C'rty of Fridley and/'rts employees harmless#or any damages tfiat may occur vrhiie cfoing tF
o�eration. This#o enctude,but not Bimited io valves,pipin�walis,floors or the curb stop 6nx and senrice line. In�nderstand 1 am also req
to obtain a permi�prior to any wror4c,�f aecessary.
Ft4StA1.METER READtNG(ofd meter) � (� �� �v
�lame:���w �D� Address��3 �Y���.0� � .
Phone Number 1�� ` ��1 '' G��y Date �� �� V�,
S"ignature Wttness Signature ��
OLD MET�R#_1/(JlU �� � {�
OtD RfADtNG � v ` ���
I�EVI!METER# i ��� ` 8 /� � Q,i,�,�,� 4�`� Q�.�-� G`i � � �
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NEW READlfYG �
ERT# � I v Ill� I � V �
FRIDLEY Cil'Y CCiDE
CHAPTER 402.WATER,STORM WA7'ER At�!!D SANlTARY SEW�R
ADNIINISTR,ATION
(Ref Ord No I13,4�64,565,566,629,638,662,922,988,1144,i156,1191}
402.5 PEEtMIT fEE
Prior to canstructirrg or�epair of any water of sewer rne tonnecting the existir�g muniapai system and arry house or buildirig for w6id�the
application is made,the owner or corrtractor shall be required to obtain a perm�fi for such connection,and shall pay a permit fee as provided
Chapter 11 of this Code. After such connection has been made,tl�e Water and Sewer Department sha0 be notified. tt shail be unlawfial to co
any connecting line urrtil an inspection has been macle and such connection and#he wo�c inaderrt thereto has been approved by the City as a
proper and suitaiate�onnection.
402.i16 REPAIRS A11{D�IifR�iNTENANCE TO CONNECTION
A�ter the initia{connectiort has been made to the irrater service curb stop box or the sewer lead at the prope�ty iine or a water servic�Iead#�a
been extended to the property line for connedion,the appiicarrt,owner,or accuparrt or user of such premises shatt be ItaWe fa ap repairs
reqaired to any water fine and sewer iines necessary#or connettion of the premises from the main to the prem�es. if the property owner
requests mairrtenance senrice or repairs be perFormed by the�ty,the property owner shall be cf�arged for the tosTs a#the mairrtenance and(�
repairs,including necessary y-treet repairs at a rate set anoualfy by an administrative poliry. #t shall be the responsbility of the appliprn,
owner,ocsuparrt or user to perform sfiandard mairrtenance af the sewer service line from the prem�es to the main artcluding debris clearing a
root cutting and to mairrtain the water service curb sfiop box for operability and at such height as wili ensure that it remains above#he finishec
grade of the land or property. {Ref 638,1156,1191)