Meter Swap � Request Number: 13353
Public Works Division
Service Request
Problem Ar�dress: 5817 Temrison Dr Req�sted By: Gary Erickson
Departmeut: WA1ER Address: No address provided
ProW em/7sam: INSTALL AMR ME1ER PLone Number: 571-0905
Sched�iled Da e: 2017-02- �� Sc6edeled 1lme: l 1:00:00
Y v r
AClION NEEDED:
Ctexted by: Wendy Hiatt Date Cres�ted: 2017-02-OS
ACIION TAI�N:
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Stxtus: In Progress Snbmitter HAs Been r.,'"
Co�acted
Dxte Compteted: .., Completed by: � ,�`
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FridleyP MN 55432
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�„ �p�1� her�6y authorize the�'rry uF Fridley and/or its empioyees to sio what ds necessary to
� replace the wvater rnetec. 1 understand that the property owner'ss liabie for the water line#rom the main to the premise and ali irnerior
�turrabing. (Per Criy tosle 402.�6) i also+hold the C'mj of F�adiey and/'rts employees harmless#or any damages that may occur while doing this
operation. 3his to�nctucte,bu#not limited to valves,pfping,walis,ftaors or the curb sto�laux and senrice line. tn understand 6 am aiso cequir
to abtain a permifi prio�r to any wor�c,if necessaey.
Fll1iAL METER READf9YG(old meterj �� �� �� `�
xame•_��'U �"U C��9h. actdcess _ �� �� �'GtRh u50�t 4/' -
Phone�lumber �� i f v t4� a� 2'"r 4� '�C�
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Segnature Witness Signature
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OLQ#tEAD{!YG__v i C q 4 � �
lMiEW METER# _ �� 6� �� o'� �
NEW READlNG (�
ERT#� � � e
FRIDLEY CiTY CCDDE
CHAPTER 4p2.WATER,STORM 1NATER AND S�tN{TARY SEWER
ADMfA1t5T12ATtON
(Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,I156,i193.j
402.5 PERf411T FEE
Prior t4 constructing or repair of any water of sewer tine connecting the existing municipa[system and any fiouse oc buitding for which the
appi�cation is macte,the owner ar corrtractor shali be required to obtain a permit for sucl�connection,and sha4i pay a permit fee as provided in-
Chapter 11 of fihis Code. After such connection has been made,tbe Water and Sewer Departmerrt shali be notified. i#shail he untauvful to cove
any connecCing line uMil an inspectiun has been rnade and such connection and the wo�c inciderrt thereto has been approved by the Ciiy as a
praper and suitable connection.
402.06 REPAIRS AtriD f1IfA1fYTENq1VCE TO CONIYELTIflN
After the initial connectioR has been made to the wa�teer sero�ce curb stop box or�the sewer lead at the praperty line or a water service kad 6as
been extended to fihe property line for connection,the applicarrt,owner,or accuparrt or user o#such premises sha(f be Ifabie fnr ell repairs
required to ar►y water I�ne and sewer Iines necessary for connection of the premises from the mai�to the premises. if the property�rner
cequests maintenance ser+rice or repairs be performed by the City,the proper+ty owner shail be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street�epairs at a rate set annuafty by an administrafiive po(icy, it shaq be Ehe sesponsibility o1F th¢applicacrt,
owner,accuparrt or use�tv perform standard maintenance of tl�e sewer service Cne from the premises to fihe main iadudir�g d+ebrls dearing or
root cutting and to maintairt the uvater service curb sfiop boK for aperability and at such height as will ensure that it remains a6ove the flfnished
grade of the tand ur property. (Ref 638,1156,1191)