Meter Swap t Request Number: 13496
Public Works Division
Service Request
ProWem Address: 1422 Royal Oak Ct ReQuested By: Mich�el Bilske
Depsrtmeut: WA'IER Addreas: No address provided
ProMem/Isaue: INSTALL AMR ME1ER Phose Number: 612-669-794'I
Sc6eduled Date• 2017-02-17 � Schednled 1lme: 07:00:0(!
� f
AC'IION NEEDED:
Crented by: Wandy Hiartt Date Crert�d: 2017-02-1 S
AG7ION T
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n s �,� �, �
Status: In Progiress Snbmitter Has Been �,
Conts�cted
Date Compteted: Compieted by:
2 - 1 �1 -l7 �,�
—-�--. __�-_ _....�..,. /
54:1 d9niv��-sity Aveo�tae N� �� �.,� N
Fridlsya MPi 55432 �� �
, 753-5?2-3566 ��� � �j�3 ����l 'Cl � �(��
� �/e"°� her�eby authorize Yhe Ci�ty af Fridley andJor its empioyees to do what is necessary to
replace the eaater meter. e understand that the propea�ty owner as liable for the watee line#rom the main to the premise and all iMerior
plumbing. (Per C�ty sode�02.06� i also hold the CFty of Fridley andfits employees harmless#or eny damages that may occur whFte doing this
oper�rtion. This to inctude,but not Iimi#ed to valves,p�ping,walls,floors or Lhe curb stop box and service line. In understand 1 am also requir
to obtain a permit prior ta any�erorlc,�f aecessary.
FIAIAL METER READING(old mefier) � � �� ���
Wame: _� `� �\ �j(� � Address l l 22-" � �^�.� l�
Phone EYumber y��2'"���t'� ���� 2�,�""1�
�gnature Wiiness Signature
OtD MET�R# � � ��� Q �� �
OLD READt111G���� � ��
NEW METER# yg�0 � � s�
NEW READtIVG �
ERT# � 1� � I � � S .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AMD SANITARY SEWER
ADMINlSTRATION
(Ref Ord NO 113,4!64,565,566,529,63$,662,922,988,1144,1156,1191}
402.5 PERMtT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing munidpat sys#em and arry ha�os buDdir�for which the
application is made,the owner or wmractor sha(1 be required to obtain a permit for such connection,and shall pay a permit fee�provided i�•
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Department shall be notified. R shall be untawful to cove
am/connecting.line uritil an inspection has 6een made and such connection and the worlc inciderrt thereto has been appro�ned by the City as a
proper and witable connection.
402.06 REPAlRS AND MAINTE111ANCE TO COPtNECTIOM
After the inifiiat cortnection has been made to the water service wrb stop box or the sewer lead at the property line or a water senrioe lead has
been exfiended to fihe property line for connection,Lhe appiicarrt,owner,or accupant or user of such premises s6att be liable for ail r+epairs
required to arry water line and sewer lines necessary for connection uf the premises from the main to the premises. ff tl�e preperty�aner
reques#s maiatenance senrice or repairs be performed by the City,the property owner shaii be tharged for fihe costs of the mairtGerrance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibilit�r o�f ffie applicarit,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the p�emises to the main includir�g debris dearing or
root cutting and to maintain the wa#er service curb stop box for operability and at such height as will ensure that it remair�s above the finished
grade of#he land or property. (Ref 638,1156,1191)