Meter Swap � Request Number: 13559
Public works Division
Service Request
Problem Address: I659 Stinson Btvd Requ�sted By: Ms Ny�aard
De{�rtmeut: WA'IER Aridresa: No ad�ess pro�ded
ProMem/�ssne: iNSTALL AMR ME1ER Plaae Number: 6S 1-271-1411
Seheduled Date: 2017-02-23 Schedeled 11mc: 08:30:00
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ACIION NEEDED:
CreaEed by: We�ly Hiatt Dde Cre�ed: 2017-02-17
ACIION TAKEN:
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Date Completed: �- a.� — '� Completed by: \ a^_-
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6431 i9niv�rsity Aven�ae N�
Fridfey,M!N 554�2 � i ��
753-572-3566 � �V
' I/,"°e her�eby authorize#he Ciiy�f�ridley and/or its employees to aio what is necessary to
replace#he water rneter. e understand that�he properiy owner is liabie for the water line from the main to the premise and all irtterior
plurrebing. {Per City code 402.06) i also hold the City af Fridley and/'rts employees harmless#or eny damages that may occur while doing this
operation. This to include,bufi not Bim+#ed to valves,piping,watis,floors or the curb stop l�ox and service line. In vnderstand i am also requir
to abtain a permit prior to any wor�c,�f necessary.
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F14YAL MEi'ER t2EADiNG(ohi meter� `� "' ""' � � "
Wame: '"�J � ��f G�O�,(/1,�, Address �,�J � �J`�'��C?� ��l�/'
Phone Number lld�'`d� i� �"� ` 6 4( Date �r��—`�
Signature Witness Signature �---
OtD METER#_��q � C �
OLD READtl1iG_��(C�� � �v
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ERT# `� I � I � 3 �Iy �
FRIDLEY C1TY CODE
CHAPTEti 402.WATER,STORM WATER AND SANITARY SEWER
ADM11�1 tS?Rp►TtON
(Ref Ord No 113,464,565,566,629,638,662,922,988,i144,1i56,1191}
4Q2.5 PERMIT FEE
Pr�or to constructing or repair of arry water of sewer I�ne connectSng the existing municipal system and arry house or buitding fv�which tfie
appiicafiion fs made,the owner or corrtractor shal(be required to obtain a permit far such connection,and shall pay a permit fee as provided in•
Chapter Y1 of#his Code. After such connection has been made,the Water and Sewer Departmen#shali be notified. tt shall be untawful to cov�e
any con�ecting(ine untii an inspection has been made and such connection and the wor9c inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND�t1A1PITENANCE TO CONNECI'ION
After the initia!connection has been made to the water service curb stop box or tfie sewer lead at the property line or a water senrice lead has
been extended#o the property line for connection,the appiicarrt,owner,or accuparrt or user o#such premises shall be liable for aii repairs
required to any water line and sewer lines necessan/#or connection of the premises from the main to the prem"�ses. tf the properly owner
requesfis mairrtenance service or repairs 6e perFarmed by the C'rty,the property owner shaii be+char�ed for the r:osts of U�e mairrlenance andjor
repairs,inciudin�necessary s�treet repairs at a rate set annually!ry an adminis#rative policy. ft shall be the responsibtiity of the applicant,
owner,occupant or user to perform standard mairrtenance aF the sevrer service line from the premises to the main induding debris de�ring or
raot catting and to mainfiain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)