Meter Swap .
s Request Number: 16466
Public Works Division
Service Request '
Problem Address: 6580 Pierce St Requested By: Nimya
Department: WATER Address: No addxess provided
Problem/Issue: IN5TALL t�MI�METER Phone Nwnber: 763-923-9528
ScheduledDate: 2017- 7-26 � Schedaled'1Time: 08:00:00
/
ACTiON NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-25
A ON T N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: � _ r� � � � Completed by: �
� ` a1��
,�.�..�
�d�������ey
��� ���r�� l ��.
, �a������ar�r��nt .��� /� 3
, 6431'��eiversity Avencae P1E
Fr6dley,M{V 55432
753-572-356�
i/we hereby authorize the City of Frid(ey andJor its empioyees to do what is necessary to
repiaee the water meter. i understand that the property owner is liable for the water line frorrs the main to the premise and all ir�terior
plurnbing. �Per�City code 9�2.06) t also hold the Crty of F�idley andJits employees harmless#or arry damages that may occur while doing this
operation. This to include,but not limited to valves,pipirtg,walis,floors or the curb stop box and service line. in understand I am also requirE
to obtain a permit prior to any worlc,if necessary.
FIPIAL METER READlPiG(old meterJ � ��� � �O
Name: 1�/����l Address�Q 7 �v tr��`Q rC t° S�.
Phone Number � �� �� - 9 5�� �`—� �`--', �
�jgnature Witness Signature
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��o ��-���_�`�� 2�Zb
OLD READtNG ���� � �v
NEW METER#���� S� �r�
NEU1/READlNG v
��T� � 2� � ����0
FRIDLEY CITY CODE
CHAP�'ER 402.WATElt,STORM WATER AND SANRARY SEWER
ADMlNISTRATION
�F�ef Ord No 113,464,565,565,629,538,662,922,988,1144,1156,1191j
4U2.5 PERMIT FEE
Prior to c4nstructing or repair af arry water of sewer line connecting the existing municipa(system and any house ar building for which the
appiication is made,the owner or corttractor shaft be required Co obtain a permit for such connection,and shat[pay a pertnit fee as provided in
Chapter 11 of this Code. Afiter such connection has been made,the Water and Sewer Departmerrt shal(be not'�f'ied. tt shall be uniawfuf to crnrer
any connecting iine unti)an inspection has been made and such connection and the woric incident theceto has been approved try+tf�e City as a
proper and suitable connection.
402.06 REPAIRS Air(D MAIFVTENAMCE TO COPlNECTION
After the ini#ial connection has been made to the water service curh stop hox or the sewer lead at the property line or a water senrice lead has
been extendeci to ifie property}ine for connection,the appliwnt,awner,ar occupar�t ar user of such premises shalt be liabte for all repairs
required ta any water line and sewer lines necessary#or connection of ti�e premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the�ty,the property owner shall be charged for the costs of the maintenance and/ar
repairs,including necessary street repairs at a rate set annually by an administrative poiicy. it shall be the respoasibility of the applicarrt,
owner,occupant or user to perform standard mairetenance of tf�e sewer service line from the premises to the main inctuding debris dearing or
root cutting and to maintain the water service curl�stop box for operability a�d at such height as will ensure fihat it remains above the finished
grade of the fand or property_ (Ref 638,1156,1191j