Meter Swap 3
Request Number: 15967
Public Works Division
Service Request
ProMem Address: 180 71 st Way Requested By: Tony
Dep�rtment: WA'IER Address: No�idress provided
Problem/Issue: IN5TP,LL AMR METER Phone Number: 763-51 b-3318
5chedWedDate: -06-16 Sc6eduled'ISme: 10:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-13 ;��
ACTION TAI�N:
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St�tus: In Progress Snbmitter Has Been r,
Co�acted
Date Completed: �_ �����] Completed by: ����
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5433 llraieoersity Averaue NE '
Fr6clley,MN 5543Z t�.�� ����
763-572-3566
I/we hereby authorize the C'dy of Fridtey and/or its employees to�lo what is necessary to
replace the water me#er. t understand that the�roperty owner is liable for the water line from the main to the premise and atl intesior
piurnbing. (Per Cfij code 402.dfi) I also hoid the City of Fridley andrts employees harmtess for any damages thai may occur while doi�g this
aperation. 1'his to indude,but not lim'rted to valves,piping,watfs,flovrs or the curb stop 6ox and service line. In understand t am also require
to abtain e permifi prio�to arry�rortc,if necessary.
FINAL METER READlt1lG{old sneter) � 3�'a
Name: �(��y Address � LJ �
Phone lYumber ��3�"' ��� ' J��U p� �L — 1�t — ��
Signature �7 `�----�
.
Witness Signature
OLDMfTfR#_ _ { cl� � �v
O!D READlMG�� �� � U � � ��, �--�t,�,�.P
NfW M€TER# LI t ���DO � C�
NEW READlRtG �
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FRIDLEY CtTi!CODE
CHAP�i'ER 402.WAT'ER,STORM WATER AND 5ANT'i'ARY SEWER
ADM{NISTRATIpN
(Ref Ord No 113,464,565,556,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT fEE
Prior to constructing or repair of any water of sewer line canrsecting the existSng municipal system and ar►y house or building for whith the
appfication is made,the owner or coritrackor shalf be required to o4tain a permit for such cannection,and shatl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Depa+�trner�t shaif be not�fied. ft shatl be unlawful to cover
any connecfiing line until an inspection has been made and such connection and the work incident thereto has been approved 6y the City as a
Qroper and witable connection.
4AZ.06 REPAIRS AiYD MAINTENAtYCE TO COPINECTION
After the initial connection has been made ta the water service curb stop box or the sewer fead at the property line or a water service lead has
heen exter+ded to the property line far connertion,the applicant,owner,or occupant ar user of such premises shall be tiable for all repairs
required to arty water line and sewer tines necessary for connection af the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the p�operty awner shall be charged for the costs of the maintenance and/ar
repairs,incfuding necessary street repairs at a rate set annuaNy by an administrative policy. !t sha14 be the responsibility of the applirarrt,
owner,occupant or user to perForm standard mairrtenance of the sewer senrice line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop hox for operability and at such height as wiil ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191'