Meter Swap ` Request Number: 13288
Pubhc works I�vicion
Service Request
Problem Address: 5600 Regis Tr Requested By: Deimis Vac�eth
Depsrtme�: WA'IER Address: No adc�ess provided
Problem/Iasae: INSTALL AMR METER Phone Nnmber: 574-0132
5chednled D�te: 2017-02-49 � Schednled 1lme: 08:3Q:Q0
� �
ACIION NEEDED:
C4�eated by: We�y Hi�t Date Cre�ed: 2017-02-06
A�(.1ION TAI�N:
��_ � ,� �� �
1����' l�d� � a� c�'� a S�v�T o�-
���Z .1��r �������c �� `�s�u.�_
����
Statas: In Progress Sabmitter Has Been r
Co��cted
Date Completed: Com�eted by:
��,� - 1 `�
- --- __��.,...o.... �
��43�.�ndv�rsityr p►ver,a.�N� � �,^ .� � � ��
��a��eye nnrr 5s�.�a �
763-572-3566 ,J�'�, "� C I 3 �`, � I
�� `) L, .., (' �
�,°Ve hereby authorize#he C'rty af Fridley and/or its empioyees to sla what is necessary
. replace the water�neter. 1�nderstand that the praperty owner as tiabte for the wa#er line#rom the main to the premise and all interior
plumbing. {Per C"rty cosie 402.06j i adso hold the City of Fridley andJits em�►loyees harmless#or any damages tf�at may�nccur�rhile doing tF
operatian. This to 9nciude,but nrnt lim'rted to valves,pipin�walls,floors or the curb stop 6oz snd senrice line. In understand t am alse req
to obtain a permit prio�r to any 7are�,if necessary.
FINAL METER READtfliG old metec � �1�� ���� `�'
� )
r"� i {� n
IYame: ��N'�:,�� yti/�'��,i i�} Address �-� � 1�Qd`� �1�.
�
Phone Mumbe p�
� ! �
f � �Sigrtala� r c
witness S�nature
OLDMETfR�_ � ( `� �� t 1
OLD READtl�tG �—I `��C�
t �
tVEW MEi'ER# ���� ���� �
111fW READIt�1G �
�R�# `�t t����� (00�3 �
FRIDLEY C1TY CODE
CHAPTER 402.WA7ER,STORM WATER AND S�tNITAlZY SEWER
ADMlNISTRATION
(ite�f Ord No 113,464,565,56b,629,538,662,922,988,1144,115fi,1191}
402.5 AERSV!!T FEE
Drior to constructing or repair of any water of sewer line connecting the euis�ting muniapal system and arn/hause or lwitdis�fvr wFsich�e
application is made,the owner or corttractor shall be required to abtain a permit for such connection,and shall pay a permi#fee as proyidetl
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departme�rt shali be nofified. tt strait be un(awful to�ro
arry connecting line urrtil an Inspection has been made and such connection and the wordc inaderrt thereto has been aqproved by the City as a
proper and suitable connection.
402.06 REPAlRS qfplD MAINTEfyqyCE Ta CONA[ECTiON
Atter the initia!connection has been made to#he water service curb stop boK oe the sewer lead at i�e propetty iine or a water�rvice Iead ha
been extended#o the property line for connection,the appiicarrt,owner,or accuparrt or user aF such premises shati be ILabie for aD repairs
required to arry water line and sewer(ines necessary for conneckia�of the premises from the main to the premises. if i�e property awner
requests mairrtenance service or repairs be performed by the City,tfie property owner shali be tharged for ifie tosts of the mairrter�ance and/
repasrs,is�ctuding necessary street repairs at a rate set annuaily by an administra#ive pol'icy. tt shall be the responsbility of the a�licarit,
owner,ocsuparnt or user to perform standard mairrtenance af the sewer serwice line from ifie premises to the main indutling debrts dearing rn
root cutting and to mairrtain the water service r.urb stop box for operability and at such height as will ensure that it remains ahove the ftnishec
grade o#the land or prvperty. (Ref 638,1256,1191�