Meter Swap �
x Request Number: 13330
Public works Division
Service Req�st
Problem Address: 1496 N lnnsbruck Dr Requested By: Myron Swenson
Departme�: WA'IER Addres:; No address provided
Problem/Isane: INSTALL AMR METER P6onc Nomber: 612-716-0507
Schednled D�te: 2017-04-14 Sc6ednled'IIme: 10:00:00
� �
AClION NEEDED:
Cre�ed by: Wendy Hiatt DaEe Crerted: ZO1?-02-07
ACIION T A ,, �
1 ��-�.. � � ���'�
�s
Statua: In Progress Snbmitter H�Been r
Coat�ted
1?�te Compieted: Com�eted by:
�- {y - �� 'i �-r-
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�1/agea-L��arta�a�tent
6431 d�ndv�rsit�Aver�ue NE
Fridley,MIV�N �54�2
� 7�3-572-3566
y ,/�� her�by authorize#he City af Fmlley and/or its employees to clo what is necessary ta
re�alace#he water meter. 1 r�nderstand thafi the property awner as tiable fior the+aater line from the main to the premise and all irrterior
plumbing. {Per City code 402.06� i also hoid the Ctty of Fridley andfrts em�loyees harmless#or eny flamages that may occur whi{e doing thjs
o`oeratian. This#o�nclude,but no#lim�ted io valves,piping,walis,floors or the curb stop�ox and service line. In understand�am elso requi�
to obtain a permit prtior to any�torlc,if nec�ssary. �' � r ��� , t �O� ��
L�
S (��- �� ►
FIti1tAL METER READING�afd meterj � ��� �� �
+�ame: 1=""'� �'�:.l�'L� Address_—L� y� 1v � �-6'►-��`C V�il�- ��
Phone Number �1 L���O"�1.� date �'�- 1� l�
Signature Wiiness S'rgnature
o�o M�-�R�_ ��o� � � ��
OLD READiNG � i� 1 �l O
4VEW METER# � { W ����
N�W REA,DNVG �
ERT# � 2��� � � � �
FRIDLEY CfTY CODE
CHAP3ER 402,WATER,S'1'ORM WATER AND SANITARY SEWER
ADMINISTRATION
=Re#Or�Aio I13,46�,5G5,�66,6Z4,638,662,922,988,1144,i15fi,1191)
40Z.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipal system and erry house or buildir�g for which the
appiication is made,the owner or corrtractor shalt be required to obtain a permit for sucN connecCion,and sha{i pay a permit fee as proaided in
Chapter 11 of this Code. A�fter such connection has been made,the Wate�and Sewer Departme�rt shat4 be notif'�ed. !t shall be uniawfu3 to covE
any connecting line until an inspection has been made and such connection and#he wor�c inaderrt thereto has been approved by the Gty as a
proper and suitable connection.
402.05 REPAIRS AND MAINTENANCE TO COMNEC770N
After the init�a(connection has been made to the wa�ter service curb stop box or the sewer lead at fihe propecty line or a water service lead has
been extended to the prvperty line for connection,the appiicar+t,ows�er,or occuparrt or user af such premises sF�al!be liabie for all repairs
required to any water line and sewer lines necessary for connectian of the premises from the main to the premises. !f the}xoperi,y ownec
requests mairrtenance service or repairs be perFormed by fit�e Caty,the property owner shafl be charged for the tosts of the mairrterrance and/rn
repairs,including necessary street�epairs at a rate set annuaily by an adminis#ra#ive policy. It shall be tbe responsibi[ity of the appfi,r�a+rt,
owner,occupant or user ta perForm standard mairrtenaace of the sewer senrice line from the prem'sses to fihe main dnduding debris dearing or
root cutting and to ma�rrtain the water service curb stop box for operability and at such height as wiU ensure Chat it remains a6ove the flnished
grade of the land o�property. (Ref 638,1156,1191)