Meter Swap . Request Number: 13159
Public Works Division
Service Request
Problem Address: 5510 Matterhorn Dr Requested By: Willia�n Jechorek
Depprtme�: WATER Address: SS 10 Matterhorn Dr
Fridley,MN 55432
Problem/7ssae: INSTAI.L AMR METER Pho�Namber: 763-5740218
f Seheduled Date: 2017-02-06 � Sc6ed�led 11me: 09:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-02-30
ACIION TAi�N:
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Status: In Prog�ress S�bmitter H�u Beea �..,
Contaeted
Date Completed: Completed by:
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Water�e�arta�rtent
6431 lOniversit�Avenue NE � � ���(,�
Fridley, MN 55432 � �
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- � 753-572-3566 � � c� � l� (� `- '"-
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�✓'"�e hereby authorize the City of Fr�dley and/or its empioyees to slo what is necessary to
replace the water rneter. !understand that�he propea�ty owner is liabie for the water line from the main to the premise and a(I infierior
plumbing. (Per C�ty code 402.06) i also hold the C'rty of Fridley and�ts employees harmless#or eny slamages that may occur while doing this
operation. This to include,but not lim'rted to valves,piping,walis,floors or the surb stoP box and service line. In understand I am also require�
to obtain a permit prior to any rrortc,if necessary.
FiNAL METER READING(old meter) � � �� ��
Name• V v�� C�� dress
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Phone Number��� / ��� a� 2�(p'��
Signature Witness Signature �
OLD METER#_ ��� Z�t��''�
OLD READING���� ZC�
NEW METER# t 1,��' Vl/ �'�
NEW READING _(_./
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the euisting municipa(system and arry house or buiidir�fo�whicfi the
applicafiion is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a perm�tfee as provided irr
Chapter 11 of this Code. Aftecsuch connection has been made,the Water and Sewer Departmerrt shali be notified. k shall be untawful to cover
any connecting line urrtil an irrspection has been made and such connection and the wor�c inaderrt thereto has been approved by the City as a
proper and suitable connectioa.
402.06 REPAIRS AND MAtMIENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop 6ox or the sewer lead at the property Iine or a water senrice Iead has
been extended fio the property line for connection,the appiicant,owner,or accupaM or user of wch premises shaii be Itabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests main#enance service or repairs be performed by the City,the property owner shall be charged for the costs of the ma��rtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. R shatl be the responsibil'rty of the applicarrt,
owner,occupant ar user to perform standard mairrtenance of the sewer service line from the premises to the main including debris deari�g or
root sutting and to maintai�the water service curb stop box for operability and at such height as wiU snsure that�t remairis above#he flnished
grade af the land or property. (Refi 638,1156,1191)