Meter Swap • Request Number: 13070
Public works Division
Service Request
Problem Addresa: 5600 Matterhom Dr Requested By: Martha Nyhus
Departme�: WA'IER Addreas: No address provic�ed
Problem/Issue: INSTALI,AMR METER Phone Nnmber: 763-586-0763
Sc6ednled llnt • 2017-01-28 5chednled 1lme: 07:30:00
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ACIION NEEDED:
Created by: We�y Hiatt Date Crented: 2017-01-25
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AGTION TAKEN:
��:.�-�-Gte� �l�—c,� ��-�L� �-'�-�
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Statas: In Progress Snbmitter Has Been �
Cont�ted
Date Completed: �'��v v�' ` Completed by: � ���
41/ate�13epar�trnerat
6431 Univea-sit1fAve�aue NE �� ��
Fridley, MN 55432 �,��--_ C� ��� �U �;
' 763-572-3566
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�/'''�e hereby authorize the C'rty a#Fridley and/or its employees to slo what is�ecessary to
replace#he water meter. �understand that#he g�roperky owner is liable for the water line#rom the main to the premise and alt interior
p{umbing. (Per Crty sode 402.06; i also hold the�ity�of Fridley and/ifis employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wa(Is,floors or xhe surb stop boz and seruice line. in understand!am also requlre�
to obtain a permit prior fio any�voric,�f necessary.
FIlVAL METER READING{old meterj ��� �� �O
Name:��"'� '�u�'S Address �`�'�� �,OY�. `/+I".
Phone Number ���-� �[}`Q — ��tP�j Date ���'���
Signature Witness Signature `�'
OLD METER#,�,� �� ��I
OLD READtA1G lU 5 �7 �D
NEW METER#_ 1� V � v � 3 � 1
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NEW READIIVG �
ERT# (�� � � 9 CQ
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing ar repair of any water of sewer line connecting the existing municipal system and arry house or Iwildir�for which the
application is made,the owner or cornractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided irr
Chapter 11 of ihis Code. After such connection has been rnade,the Water and Sewer Departmerrt sl�ail be notified. tt shail be unlawful to cover
any connecting tine utrtil an inspection has been made and such connection and the work incaderrt thereto has been approved by the Crty as a
proper and suitabte connection.
402.06 REPAlRS AND MAfNTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water ser�vice lead has
been extended to the property line for connection,the applicarrt,owner,or accupant or user of such premtses sha[t be liabie for all repairs
required to any water fine and sewer lines necessary for connection of the premises frvm the mai�to the premises. tf the property owner
requests maimenance service or repairs be perFormed by the City,the property owner shall be charged for fihe costs of the matrrtenance and/or
repairs,inciuding�ecessary street repairs at a rate set annually by an administrative policy. It shati be the responsibility of the applicarrt,
owner,occuparrt or user to perfiorm standard mairrtenance of the sewer serv�ce lis►e from the premises to the main inciuding debris dearing or
root cutting and to mairrtain#he water service curb stop box for operability and at such height as wiil ensure that it remain.s above the finished
grade of the land or property. �Ref 638,1156,1191)