Meter Swap ' Request Number: 13263
Public works Division
Service Request
Problem Address: 5713 Matterhom Dr Requested By: Joe
Departmeat: WATER Addresa: No address provided
Problem/Issue: 1NSTALL AMR ME'IER Plwne Number: 571-6330
Schednl ate: 2017-02-49 Sc6eduled 1lme: 01:30:00
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AC'IION NEEDED:
Crexted by: Wendy Hi�t Date Created: 2017-02-03
NT
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Stah�: In Progcess Snbmitter H�Beee �.,
Conitncted
" D:tc Completed: Completed by:
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� Fr6elley,6Ul9r! 55432 J �`Y _I
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I/�°� hereby authorize the�'�ty of Fridley andror its empioyees to do whafi is necessary
replace the water sneter. !understand that�he propertyy owner u dia6le for the swater line from the main to$he premise and all irnerior
plureabing. (Per C"rry cosle 4A2,06) i also�told tfie C'yty�f F�idiey and�fis empbyees harmiess for any damages titat may sicaar rrhile s�oing th
aper�tion. This�o�nclude,but no�limrted to valves,piping,walis,floors or the cearb stop box and service iine. In understand i am also req+
to obtain a permit prior to any zeror4c,if necessary.
F64�IAL IIAE�ER READN1iG(old mefierD � f� 1 � V�
Name: ���"' Address ��7 G 3 l"�Q' 1'F 1�'
Phorie iYumber ��f"' ���� Date � � 4 ��
Signature_ " Yltits�ess Signature _
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OLD READIAIG�� —( � ���
R1EW ME'TER#_���5 YO f $ 1 S
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F�IDLEY C17'Y C�DE
CHAPTER 402.WA"fER,STORM WATER AND SANITARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,566,629,635,662,922,988,1144,i155,1191j
4025 PERMIT PEE
Prior to constructing ar repair of ar�y water of sewer iine connecting the existing municipa(system and atry hause ar buiWir�for which the
applicafiion is made,the owner or corrtractar shait be required to obtain a permit for such connection,and shall pay a permii fiee as pravided i
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. tt shati be uniawful to crn
any connecting line until an�nspection has 6een made and such connection and the+�roric inciderrt thereto has been apprwed by the City as a
proper and suitabte connection.
402.06 REPAlRS qP1D MAiRI'�'ENANCE TO CONNECi70N
After the in�tia!connection has been made to the wa�ter service curb stop(�ox or the sewer tead at the property iine or a water serviae lead#ia
been e�cteraded to the property fine for connection,the applicarrt,owner,or accupan#or user of such premises shall be liabie for ail repairs
required#o any water I�ne and sewer lines necessary for conaection af the premises from the main to the premises. ff the preperty owner
requests mairrtenance service vr repairs be perFormed by the City,the property owner shaii be charged for the costs aF the matrrtenan�and/<
repairs,inciuding necessary street repairs at a rate set annuaily by an administratiVe poliry. it shatl be the responsibiC�ty of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer serviee tine from tF�e premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remains a6ove fihe finis4�ec
grade aF tS�e larid or property. (Refi 638,1256,1191j