Meter Swap �
Request Number: 13167
` Public works Division
Service Request
Problem Address: 5411 Matterhom Dr Requested By: Thomas Monjeau
Department: WA1ER �.e8s: 5411 Matterlsorn Dr
Fridley,MN 55432
Probtem/Isaue: INSTALL AMR METER Phone Nnmber: 612-554-4794
Schedaled Date: 2017-0 � Schcdnled 1lme: 10:30:00
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AC'lION NEIDED:
Created by: Beth Kondrick Date Created: 2017-01-30
ACTION T
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Statvs: In Progress ��tt�r Hs�Been �.,
Co�ted
Date Completed: Com�eted by:
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iNater�eparta�re�nt '
6�131 lOniversity Avenue 6VE � � ,� � C� �
Fridley, NlP1 55432
763-572-3565 ��� _ �(� � �� �� ,��, �
��'N"� her�by authorize the Ciiy af Fridley and/or its empioyees to clo what is necessary to
replace the water meter. 1 understand chat�he property owner is liabie for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the City af Pridley and/Fts empioyees harmless#or any damages that may occur while doing this
operation. This to inciude,but not limrted to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also require�
to ob#ain a permit prior to any�rorlc,if necessary.
FIfVAL METER READING(old mefier) �
Name• qddress Y \.
Phone Number Y V � ' " p� �j g"' �i�
Signature ` YYitness Signature
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OLD METER# �� � Yv t
OLD READtIVG �;YV���
NEW METER# l�,F,�_I� 1 1 I J
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NEW READING �
ERT#� �� r� Y✓
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT1011t
(Ref Ord Rio 113,464,565,566,629,638,662,922,9$8,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sEwver tine connecting the existing municipal system and arry house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. Ft shail be unlawfvl to cover
any connecting line untii an irtspection has 6een made aod such connection and the wor4c inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAiRS AND IINAINTE111RNCE TO CONNECTIQR!
After the initiat connection has been made to#he water service curb stop box or the sewer lead at the property line or a waler service iead has
been extended to the properry line for connection,the applicarrt,owner,or accupactt os user af such premises shati be liat�e for all repairs
required to any water line and sewer lines necessary for connedion af the premises from the main to the premises. if the property owner
requests mairrtenance serxice or repairs be perFormed by the City,the proper�j/owner shail be charged for#he costs aF the maintenarn:e and/or
repairs,including necessary sireet repain at a rate set annually by an administrative policy. It shatl be the responsbility of the applicarit,
owner,occupant ar user to perform standard mairrtenance of the sewer service iine from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that�t remains above the finished
grade af#he land or p�operty. {Ref 638,1156,1191)