Meter Swap , Request Number: 13302
Public Works Division
Service Request
Problem Addrea�: 1663 Kristin Ct Requested By: Jim St�gler
Department: WA'IER Address: No sd�ess providcd
Problem/Iss�: INSTALL AMR METER Phone Number: 612-987-7962
Schednled Date: 2017-02-1 � Sc6ed�led 1Ime: 10:30:00
�T /� tc��
ACIION NEEDED:
Created by; Wendy Hi�t Dxte Cre�ed: 2017-02-06
ACIION TAI�N:
N �
Status: In Pro ss Sabmitter Has Been �
� Contacted
Date Completed: Completed by:
� ��� ,�
�
------ __,....>..,o....�
�433,i9a�av�rsitgr�alr�erea�e N� /�, �
Fridley,MN SS�t�2 �(� � � l�/
� 753-5�2-3565 � � � '_� b � � �l} --�`} �
�' I/�°� hereby authorize the�fiy af Fridley andror its empioyees to do what ds necessary
replace the water rneter. i�nderstand that�he propea�ty owner as liabie for the 9erater line from the main to�ee premise and ali ircterior
ptumbing. {Per City s.asie 402.06j i also hold the C'rty a7F Fridley and/'rts empioyees harmless#or eny damages tfiat may occur whtie doing tF
operetion. This#o include,buC not limited#o valves,piping,wails,floors or ihe curb stop box and service Iine. In understand 1 am also a�eq
to obtaira a permit prsor to arry rror4c,�f necessary.
�INAL METER READtNG(old meter) ` � � � ��0
Name: _ �1�(11, ����`l�, Address ( �KJ� �(\�S�_�,N �
Phone!r{umber ' � � Dafie •. �.
S��re Witness Segnature
Ol.D MET�R# � �� 1 � v��
OtD READING__ I ��I I (�.�
NEW METER# "'l U�`J l�j —1 lQ
NEW REAll11VG 1"
�RT#��4� � �,1`� � ,
FRIDLEY CI'!'Y CODE �
CHAPTER 402.WATER,SI'ORN!WATER AAID S�f1tITARY SEWER
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,i144,ii56,i191)
402.5 PERMIT FEE
Prior to constnacting or repair of any�rater of sewer Pne connecting tf�e enisting muniapal system and arry house oir buiWlr�for whidt the
appl?cation is made,the owner or corrtractor shalt be required to obtain a permit for such cannection,and staail pay a pern�it fiee as provided
Chapter 11 aF this Code. After such connection has been made,fihe Water aad Sewer Departmerrt sttall be notified. tt shail be uniawful to ca
any connectirtg line ur�til an inspection has 6een made and such connecCion and the wor�c incaderrt thereto has 6een approved py the qty as a
proper and suitabte connection.
�02.05 REPAIRS ANp fUtql{y'I'ENqfYCE 70 CONf1IECTiQM
After ihe initia(cortnection has been made to#he wa�ter service arb stop fwx or the sewer tead at the prope�ty iine or a water se�vice lead fia
been extended to the property line for connection,the appiicarrt,owner,or accuparrt or user af such premises shal{be liabie for all repairs
required to any water li�e and sewer lines necessary for connection of the premises from the main to the premises. If the property ormer
requests mai�tenance service or repairs be performed by the C'rty,the property owner sf�atl be cf�arged for the msts aE the mairrtenance and/
repairs,inciuding necessary sCreet�epairs at a raCe set annually by an administrative poficy. It sha0 be the responsbility of the a�licartt,
owner,ocsuparrt or user to perform standard mairrtenance af the sewer serwice line from fihe premises to the main dr�ciuding debris dearing rn
root cutting and to anairrtain the water service curb stop l�ox for operabilityr and at such height as will ensure that it rernains a6ove the finishec
grade of the land o�property. (Ref 638,1156,1191)