Meter Swap ` Request Number: 13485
Pubhc Works Division
Service Request
Problem Address: 5840 Teimison Dr Reqnested By: Lym�L,asser
Department: WA'IER A�lresa: No address providcd
ProblemRsaue: INSTALL AMR ME'IER Phone Number: 651-271-5175
Schefiiled Dat 2017-02-1'7 Sc6edaled Time: 08:00:00
� ;., ���
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-02-1 S
ACIION T��
� �� � � ` y�
Statas: In Progress 5nbmiKar Hns Been r.,
Conts�ted
Da#e Completed: Completed by:
2 ��`� - �7 `�- �--
�
�
: ._ �.���
—----. __�._._..._.o>
5431 tDnivea�sityr Aven�e�t� ;� ��y �
Fridley,M!N 554,32 � ��
, 763-572-35b6 ��r-� J� �� � ��� .,� � ,,�h
� V
��'N� heretsy authorize the Ciiy of IFridley and/or its emp(oyees to do what es necessarq to
replace the water�netec. �vnderstand that�he property owner is tiable for the water line from 2he main to the premise and all irtterior
plurribing. {Per City�osfe 402.06) 1 also ihold the City of Fridley and�ts employees harmiess for any slamages that may otcur while doing this
operation. Tfiis 80�nclude,but not Bist»#ed to valves,piping,watts,floors or the svrb stop i�ox arx!service line. fn understand I am also sr.quir
to obtain a permit prior ta any wor4c,�f necessary.
FIAiAL METER READIAIG(otc{mefierj `������
Name:��{.;n,h `��1��1� Address�_1t�� �'�i��'1�, �
Phone�iumber i""�`r �� ��,� � Dafie L ' � " I 1
�gnatut'e W�tness Signature 1✓'�_ �
OtD MET�R# �� " ��� � �
OLD READtNG ���� � ` Q
NEW METER# -`��O ��� �
NEW READING �/
ERT# � � �I � ��� .
FRI�4EY CiTY CODE
� CHAPTER 402.WATER,Si'�RM WATER AND SANITARY SEWER
ADMIiViSTRATtt�4t
(iief Ord No 113,464,565,�66,629,538,662,922,9$8,1144,ii56,5191}
402.5 PERMtT FEf
Pr�or to constsucting ar repair of any water of sewer{ine connecting the e�cisting muniapal system and arry house or buiidir�for whid�the
eppiication is made,the owner or corrtractor shalt be required tv abtain a permit for such c.onaection,and shail pay a permit fee as provided m•
C�apter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be no�tfied. it shat{be uniawfui to cove
any connecting(ine untif an inspectson has 6een made and such cflnnettion and the woiic inaderrt thereto 6as been approved hy ttte Ghj as a
proper and suifiabte connection.
402.06 REPAIRS ARID�1A{NTENAlYCE TO C011HUECTiQN
After the in'rtia!connection has been made to the water servsce curb stop box or the sewer lead at the property line or a water s�nrice Iead has
been extended to the property line foc connedaon,the appficarri,owner,or accupartt or user of such premises sha(1 be liat�e for af�repairs
required to ariy water line and sewer lines necessary for connection of the premises from#he main to the premises. Ff tite property owner
requests maintenance s2rvice or repairs be pesEormed by the City,the property owner shaii be charged for the costs of the mainter�ance andJor
repairs,inciuding necessary street repairs at a rate set annuaJly!ry an administra�tve policy, tt shalt be t�e respons16i1ity of the applicarit,
owner,occuparrt or user to perform standard mair+tenance aF the sewer serv�ce line from the premises io�the rnain dndudirig debns deari�g or
root cutting and ta mainfiain the water service curfi sfiop hox for aperability and at such heigtrt es will ensure Chat�t remairis a6ove the$nished
grade of the land or pcoperty. (Ref 638,1I56,1191)