Meter Swap � Request Number: 13151
Public Works Division
Service Request
Problem Address: 1535 73rd Ave Requested By: Mike for Cathy Londall
Depnrtme�: WATER Address: 1535 73rd A�
Fridley,MN 55432
Problem/Isaue: INSTALL AMR ME'IER Phone Number: 763-784-9583
Sc6eduled Dite: 2017-02- 7 Schednlcd'ilme: 01:00:00
��
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-01-27
ACTION TAI�N:
y���__.����.....� ��\��.� -- .�
Status: In Progress Submitter Has Been �
Contacted
D�te Completed:�....�„_, �� Compieted by: �� tU� "
�f
.
,�
�:
���;'
�rva�e��partmen�
6431 i�ndv�ssit}f J�ver�ase R1E C b o� �,Y� 1
. • Fricltey, MN 55432 I �
753-572-3565 � b 2 _ ['r�'1 C�_� ,
r J J ��bc J
1/we hereby authorize Yhe�"rty vf Fridley andJor its empioyees to do what is necessary to
repiace the water meter. 1 vnderstand Chat fihe property owner as tiable for the water line from#he main to the premise and all irrterior
plumbing. (Per Crty code 402.06� i also hold the Cit��f Feidley and/its employees harmless#or ariy damages that may occur ierhile doing this
operation. Tfiis to include,but not limi#ed to vaives,p�ping,wails,#loors or the sur�h stoP box and service line_ In a�nderstand 1 am also requir
to obtain a permifi pr�or to any ierorlc,if necessary.
�ItItAL METER READIAIG(ok(meter) �.(i �
lliame: � Y�V� a. [ Address_ � �� �3�� ��
Phone Number 1 �O� `� 7�/L� ����— 2""" �`—� (
���� Witne�Signature —-
,���o�����R#�3 )� g� 7 l � �
�.. .,,�
OLD READlNG� ����
NEW M£TER#�� �i�
�
NEW READIIVG �
: ERT#_ 1. � � 4 F � G � .
FRO�LEY CiTY COD£
CHAPTER 402.WATER,STORM WATER Af11D SAN{TARY SEWER
ADMINISTRATION
(Ref Ord Mo 113,464,555,566,6Z9,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to.constructing or repair of any water of sewer line connecting Che existing municipat system and arry house or buildir�g for which the
appiication is made,the owner or contractor sha(1 be required to obtain a permit for such connection,and shali pay a permitfee as prvvided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall qe unlawfu!to cove
any connecting line untif an inspection has been made and such connection and the work inciderrt thereto has been approred by the City as a
proper and suitabie connection.
402.Q6 REPA11R5 AND lIAq1N'fENAR10E TO CONNECTION
A1Fter ihe initial connectiort has been made to the water service cvrb stop 6ox or the sewer tead at the property iine or a water service lead has
been extended#o the property line for connection,the appiicarit,owner,or accuparrt or user af wch premises sbaii be liabie for atl repatrs
required to any water line and sewer lirtes necessary fvr connection of the premises from the main to the premises. If the property owner
requests main#enance service or repairs be performed by fihe Cii,y,the proper�y owner shali be charged for#he�af the mai�tenance and/or
repairs,inciuding neaessary street repairs at a rate set annually!�an administrative policy. R shali be the responsibitity of the applicarrt,
owner,occuparrt or u'ser to perform standard mairrtenance of#he sewer service line from tf�e premises to the main induding debris dearing or
root cutCing and to mairrtain the water service curb stop box for operability and at such height as wili ensure that�t rernains above the finished
grade af the land or property. (Ref 638,1156,1191)