Meter Swap �
; ' Request Number: 13317
Public Works Division
Service Request
Problem Address: 1040 Lynde Dr Requested By: Jean Pemi
Department: WATER A�ddreas: No address provided
Problem/Imsue: INSTALL AMR MET�i Phone Number: 5'72-9052
Schedeled Date: 2017-02-16 Sc�edoled 1lme: 10:30:00
� � }
ACIION NEEDED:
Created by: Wcndy Hiatt Date Created: 2017-02-07 ,
ACTION TAI�N:
�=��r�s �l� ��5�.
�
'Status: Tn Progress ��tter Has Beea r
CoMactcd
D�te Completed: �-•`�— �� Completed by: ���L�
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6431 i9r�ivQ�s7tRpl�,versue N� '�'��1 � �� �
Frredlsy,6tr1N 554�2
_ 7�3-��z-�5�� � 1�f � y �j �� ��. -cu �
• ,`�°� her�by authorize the C'riy of Fridley and/or its emgloyees to do what ss necessary
replace the water sneter. �understand that fiFee propee�Ly owner @s Iiable for the+erafiee Iine from 4he enain to the premise and ai1 irrterior
pturrabing. {Per City code 402.06; i also hoid the City�f Fridley and/'rts employees harmless#or any�damages that may occur rrhife doing t�
aperation. This#o�nctude,bufi not limited Ro valves,p9p�ng,waUs,floors or lthe turb stop box and senrice line. In undersiand 9 am aiso req
to obtain a permit�arior to any�eror�,�f necessary.
�BNAL METER READIf►iG(o!d meterj_�� v � �� lJ
Name:_ �C�,Y1 �'e�/�,I/`- Aiddress ��✓ -` � '1..���wd� -�v`
Phone Number ��� " 1��p� Date �}-! ``�'� ��
Signature ^'�'�
Wftness Sigr�ature
OLD METER# `���� ��
OLD RfADltYG ������t�
l�EW METER# _- i U I� � 8��
NEW READIAtG �
�R�� �7 �� � � 131 �
FlilD1.EY CITY CODE
CHAPTER 402.WATER,STORM WATER RIND SANITARY 5EWER
ADMINISTRA110N
�Ref Ord No 113,4f4,565,56b,629,638,662,92Z,988,i144,1156,1191}
402.5 PERMIT FEE
Prior fio constructirtg or repair of arqr water of sewer tine connecting Che existing muniapa(system and arry house or buiiding fo�which#he
appl�cation is made,the owner or corrtractor sha(1 be required to obtain a permit for such connection,and shali pay a permii fee as provided
Chapter i1.of th�s Code. After such connection has been made,the Water and Sewer Departrnerrt sha11 be notJf'ied. !t shatl be unlawful to co
any connecting Gne urit7 an ir►spection has 6een made and such connecEian and the work inaderrt thereto has been appcoved by tE�e Gty�;a
�roper and s+uitab{e connection.
402.05 (tEP�►IRS AMD M�IN1'E4NpA�CE TO CONN£CfiOlol
Affier the initiat connection has been made to the+rater service arb stop box or the sewer lead at tltie property ilne or a rr�ter service lead ha
been extended#o the property fine for connection,the appiirarrt,owner,or�ccuparrt or user of such premises sf+ati be Itabie f�all repairs
require+d to any water iine and sewer lines necessary for connectfun of the premises irom the main to the premises. tf ii�e property owner
requests mai�tenance senrice or reQairs be pet-Formed by tf�e City,the property awner shatl be charged for#he aosts af fihe mat�na�►cQ and/
repairs,including necessary street repairs at a rate set annual(y by an edministraCive poliry. tt sf�aq be the sesponsibi{ity o�Fthe applicarit,
ownar,ocsuparrt or user to perform standard mairrtenance af the sewes service line from the premises to fihe mai�dr�du,ding ckbris dearing w
root cufiting and to mairrCain the water service curb sCop box for operabitity and at such height as wiil ensure thaC it remains a6oae the fioisfiec
grade af the land ar property. (Ref 638,1156,1191)