Meter swap , Request Number: 13142
Pubhc Works Division
Service Request
Problem Address: 1426 N Im�sbr�k Dr Requested By: Kevin Cardinal
Departme�: WA1ER Addre�s: No address provided
Problem/Isaue: INSTALL AMR ME'IER Phone Nnmber: 763-571-3636
Sc�eduled Date: 2017-02-0 � Scl�dnled'Rme: 01:00:00
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AC'IION NEEDED:
Created by: Wendy Hiatt Dxte Cre�ed: 2017-01-27
A ON TAKEN: �
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St�u: In Progress Sebmitter Has Been r.,
CoMacfed
D�te Completed: Completed by:
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�rvate�-�par�a�t�ert�
6432 l9ncve�-sit�l�,vena�e N� � (,.� � � � `�
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. . Fci7f3-572 3566�2 a � �p -- "I D � J�P��"��
' �/�e her�by authorize#tae Ciiy af Fridley and/or its empioyees to slo arhat is necessary to
re�lace the water meter. i understand that�he property owner u iiabie for the�nrater line from the main to the premise and ail irnerior
plumbing. (Per Crty sode 4Q2.06) i adso hold tfie Crt�at F�idley andfrks employees harmless for eny damages that may ocaur while sloing tEiis
operation. This to inslude,but not limited io valves,p�ping,wails,�loors or#he curb sto�box and senrtce line. tn undes�stand 1 am also requir
to obtain a perm"rt pr'sor to any ierorlc,�f necessary.
FBRtAL 1V�E3ER READING(old meter) �� —'" � � �
.
lYame: __ � 1 '� �� Address__� 1�� ��i�_���� �
Phone iYumber����� �� �������te L�•-�— � t
Signature �' `�"^"'"""'r__ �__.
iNitness Signafiure
OlD METER# l�� � j 1��G?
OLD READtNG_�S b� 1 Q
NEW METER# � 1 � Q
1VEW READIiyG
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FRID[.EY CiTY CODE
CHAFTER 402.WATER,STORM WATER AND S.ANITARY SEWER
ADM{4YISTRATION
(tief Ord Ai0113,464,565,566,629,638,662,922,988,1144,I156,1191}
4Q2.5 PERMt7 FEE
Prior to constructing or repair of any arater of sewer Cne wnnec#ing the existing muniapat system and arry house or bu�ldirig for whic6 the
epplication is made,the oarner or corrtractor shaii be required to obtain a permit for such connection,and shail pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Searer Departmerrt shafl be na�ed. tt shail be untawful to c:onre
arry connecting(ine until an ir�spection has heen mede an+d such connection and the wortc inaderrt thereto has been approved by the City as a
proper and suttable connection.
402.06 REPAIRS AND MAINTENANCE TO COMNECt7�
After the initiat connectiort has been made to the water service cv�b stop box or the sewes lead at tf►e property iine or a water se�vice lead has
been extended to the property line for conaection,the applicarrt,owner,or accupant or user of such premises shall be liabie for all repairs
required to any water tine and sewer lines necessary for connecfion of the premises from the main to ti�e premises. If the property owner
requests main#enance service or repairs be performed by the C'ity,the property owner sha8 be cfiarged for#he costs af the maiMenance andJor
repairs,includ➢ng�ecessary street repairs at a rate set annuaity by an administra#nre policy. 1t sha0 be the responsbility of U�e app(icar�t,
ouvner,occuparrt or user tv peeform standard mairrtenance af the sewer service line from t6e premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remairis abrnre the finished
grade af#he fand or property. (Ref 638,1156,1191j