Meter Swap ,
� Request Number: 13453
Public works Division
Service Req�st
Problem Address: 5603 Regis Tr Requested By: Carl Zepeda
Department: WATER Address: No ad�ess provided
ProWem/Iss�: INSTAL.L AMR METER Phone Nnmber: 612-562-2'720
Sc�eduled Date: 2017-03-11 Schedaled 1lme: 08:30:00
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AGIION NEEDED:
Created by: Beth Kon�ick Date Created: 2017-02-13
ACIION TAI�N:
Status: In Progress SabmittBr H�Been �.,
Contacted
Date Completed: Completed by:
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41/ate���Sar�m�rrt
�31 l9ndv�a-sii�Ave�et�e�1�
F�detley,MIV 55432
763-572-3556
• 9/we her�by authorize Yhe City of Fridley andjor its empioyees to s10 wfiat is�ecessary ta
replace the water rneter. I�nderstand that#he property awnec is tiabie for the water line trom the main to the�remise and a11 icrterior
ptumbing. (P,�r City code 402.06j i also ho9d the�'rry pt Fridley andfrts employe2s harsniess for any damages that may otcur�rhite doing this
operation. This to incfude,bufi no#limited�o vatves,p9ping,wa{Is,fl�ors or the curb stop box and seavice(ine. 4n understand 6 am also requi�
to obtaira a permit prior to arry worlc,ff necessaty. �r�� , !� � ,� !��, �C
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Fmrat.�Ie�ER REaD�N�(o�d meter}
Z�/�17(� s� �- �-���
Name:��� 7�/8"C�� Address ���� �-`�d 1 �I�
Phone Number VJ C�� J�p� 2-�� pate__�"6 /'! �
Signature Witness Signaturg 1'h��
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OLD ME1"ER#_ G O�V �O'�
OLD READiNG �� �� l 7�
NEW METER# '
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FRIDLEY C!�'Y CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMINIS'fRAT10N
(itef Ord No 113,464,565,565,529,538,662,922,988,1144,115fi,1191}
402.5 AERAAiT FEE
Prior ta constsucting or�repair of any water af sewer line connecting the existing muniapai system and arry hause o�bcti[dir�g foc Mrhich the
appiication is made,the owner or comractor sha11 be required to olrtain a permit tor such connection,and shail pay a,permit fee as proyided in
Chapter 110#this Code. After such cannection has been made,the Water and Sewer Departme�fi shall be notified. ft sha0 be untawful to covE
arry connecting tine untii an inspection has heen made and such connection and ihe wordc inaderrt thee�e#o has been approved by the Gty as a
proper and suitabte connection.
402.06 REPAIRS AND 91rtAlt�lTERIAMCE TO CONN£CTION
After the inifiiat connection has been made to the water service curb ytop i�ox or the sewer lead at the prope�ty line ar a Water sernice lead 6as
been eutended#o the property line for connedion,the appiicartt,owner,or accuparrt or user of such premises shatt be liabie for ali repa�rs
required to any wa#er(sne and sewer tines necessary fior conRection of the premises from the main to the prem'�ses. If the property awner
requests mairrtenance senrice vr repairs be perFormed by the C'rty,the propert�j owner sha{I be charged for tfie cos'ts o#the mairrtenanve and/a
repairs,inciuding�ecessary street repatrs afi a rate set annuaily by an administra#ive policy. tt shaq 6e the responsibiCrty af the appiicant,
ouvner,r�csupant or user to perform standard mairrtenancQ of the sewer service line frvm the premises to the maia iodudirtg deb�is dearin�or
root cutting and to�►ai+�tain the water service surb stop box for operabit+ty and at such height as wtil ensure that it remairts a6ave the fintshed
grade of the land or property. {Ref 638,1156,1191]