Meter Swap , Request Number: 13329
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Public Works Division
Service Request
Problem Addresa: 5748 Matterhom Dr Requested By: Gr�t Riiley
Departme�: WA1ER Addres:: No address provided
ProblemRssne: INSTAI.L AMR ME'IER Phone Number: 763-789-2510
Schednled Dxte: 2017-02-13 Schedaled 11me: 08:00:00
1�1(�. �3�
ACTION NEEDED:
�;
Created by: Wendy Hiatt Date Cre�ed: 2017-02-07 �
AC1iON TAKEN:
��,�.��-e.d� �\��1--
Statas: In Progress Snbumftter Has Been r,
Cont�ted
Date Compieted: Completed by:
2' ► 3 - I�l T�' ��
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�ii/ate���ar�a�t��n� /
�431 Univ�rsity Avea�e�e 1Y� �,t v� ��-j�
Fridley,NlPI 55�32 , �
763-572-3566 :;7�� � `" t ��.� �� � '��'` �'
�/wQ her�by authorize#he C�ty�f Pridley and/or its empioyees to slo what ds necessary ta
` replace#he wafier meter. ��nderstand tha#�he propea-ty owner is liabte for the 9arater line from the main to the premise and ail interior
piumbing. {Per Crty code 4Q2.06j i adso botd the�ty af Fridley andfrts empioyees harmless for any sJamages that may occur while doing this
o�oeration. This to 9nclude,but not Nmited to valves,piping,walls,floors or the s:tarb stop box and service line_ In understand i am also requi�
to obtain a perm'rt pr�o�r to arry�erorlc,'sf necessary.
iF1tVA1.METER READiNG(oid mefier) � � � �� v
Name: �Y�1�1�,� ,� n (.�Q i�,`�. � � d/�Y"
��` "CJ`�1 Address �� I !� �T\`�'� r
Phone Number�'��j 1��y��V Date /�� ��� ��
S"ignature Witness Signature
OLD METER# �Z�"1,� �j c��O
OLD READING 1 ��� ���
NEW METfR#'"1��,� � ��
NEW READIRIG � �
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�RIDtEY G't'1�CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMl�IIlSTRATION
(Ref Ord RIo 113,454,565,565,629,638,662,922,9$8,1144,1156,1191j
4Q2.5 AERMIT FEE
Prior to constructing or repair of any water of sexrer line connecting tFse existing municipaf syste+�n and arty ltouse or Fwitdir�for ivhich the
application is made,the owner or comractor shait be required to obtain a permit for such connection,and shall pay a permitfee as provided ia
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. ti shail be uniawful to covE
any connecting line urrtil an ir►spection has been made and such connection and the wor6c inciderrt thereto has beer�approvet(by the Crty as a
proper and suitable connection.
402.06 REPAiRS APID MAINTEtiyqMCE TO COMNECTION
After the initiat connection has been made to the water service curb stop boK or the sewer lead at the property Ifne or a water servic�e!�d has
been extended to the property line for connection,the applicarrt,owner,or accuparrt or user o#such premises shatl be liabie for all repairs
required to any water line and sewer lines necessary for conneckion of the premises from the main to the premises. If the property oarner
requesfis mairrtenance service or repairs be perFormed by the C'rty,the propenty owner shatl be charged for the costs o#the+na�ntenance and/oi
repairs,including necessary street repairs at a rate set annually!ry an administrakive policy. R shatl be the responsibility of the applicarrt,
owner,occupant or user to per�orm sfiandard maintenance of the sewer service line from the premises to the main dnciuding debris dearing or
root cutting and to mairrtain ihe water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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