Meter Swap �
' Request Number: 13554
Public Works Division
Service Request
Problem Address: 1070 Lyn�Dr Requested By: Lee and Heather
Department: WATER Address: ID70 Lynde Dr
Fridley,MN 55432
Problem/Issue: INSTALL AMR ME1ER Phone Nnmber: 580-471-3983
Scheduled Date: 2017-03-13 Schednied 1lme: 08:00:00
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ACriON NEEDED:
Created lry: Beth Koncirick Ds�te Created: 2017-02-17
ACIION TAI�N:
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Statns: In Progress 5nbmitter Ha�Been r
Contacted
Dste Completed: Completed by:
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+F431 Ua�iv�rsitry�Averea�e 6V�
Fridlsy,MlRi 55432
763-572-3566
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'�''v� her�eby authorize the City af Fridley and/or its empioyees to cio what ds necessary to
�-� re�lace the wrater meter. H understand that�he propea�ty owner�s liable for the�erater line from the main to tfie premise and all interior
p{urrrbing. (Per C'rty cosle 402.06j i also�old the�ty o#Frid4ey and/'rts employees harmiess for eny damages that may occur rrhile doing this
oper,ation. This to 3nciude,but not Bim'rted io valves,piping,walis,floors or the curb stop box and service line. 4n understand!am also requir
to obtaia a permit prior To any worlc,if necessary. �^'�f �n
�i � � ��1 b' ��
FINAL METER READI111G(old meterJ G.— v� { D �O `^�v � Z�7?'
t�ame: � Address { ��� � �1.� �'
Phone 4�umber� � ���� �Il� pate �� �"J a 1�
Signatare� �.'' Wftness Signature
o�o���R# q a� n � sZo
OLD READtlVG � �i� I O ��
NEW METER# '�°I d�2� �5
NfW READNIIG �./
ERT#� ��b��� 1�
fRIDLEY CiT�f CODE
' CHAPTER 402.WA7ER,STORM WATER AND SANlTARY SEWER
ADMIAl15TRAT10N
(Ref Ord No 113,464,565,566,624,638,562,922,988,1144,I156,1191)
402.5 PERMlT FEE
Prior to constructing or repair of any water of sewer line conneding the existing muniapal system and arry house or building for w6ich the
applscafiion is made,the owner or corrG actor sha!!be required tv obtain a permit for suct�connection,and shali pay a perm�t fee�provided in�
Chapter 11 of ihis Code. After such connecfiion has iseen made,the Water and Sewer Departmerrt shall be naCified. tt shall be untawful to cove
any connecting tine urmf an ir►spection has been made and such connection and the Yrork incider�t there�o has been approved by the C'rCy as a
proper and suitable connection.
402.06 REPAiRS AND MAIWTENANCE TO CONNEC7lOK
After the initial connection has been made to the water serv'sce curb stop bax or the sewer lead at the property line or a water service iead f�as
been extended to the property line for connection,the appiicarrt,owner,or accuparrt or user aF such premises sf�a0 be liabie fior aff repairs
required iro any water line and sewer lines necessary#or connedian of tfie premises from ihe main to the premises. If the property rnrner
requests maintenance senrice or repairs 6e perFarmed by the C'ity,the property owner shaii be charged for the costs o�E the mairrtenan�and/or
repairs,incJuding necessary street repairs at a rate set annuaily by an adminis4�ative pofiry. it shafl be the responsihiliqr o#the a�licar�t,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from tf�e prem+ses to the main induding debris dearing or
root cutting and to mairitain#he water service curb sto�box fo�operability and at such height as wiii ensure that it remains above the finished
grade of the land�or property. (Ref 638,1156,1191j