Meter Swap ,
Request Number: 13333
y
Public works Division
Service Request
Problem Addreas: 1575 75th A� Requested By: Jamet Vogt
Department: WATER Address: 1575 75th Ave
Fridley,MN 55432
Problem/Issue: INSTALL AMRMEIER Phone Number: 763-784-1956
Schcduled Date: 2017-02-15 Scheduled 1lme: 08:00:00
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ACIION NEEDED:
Crexted by: Beth Kondrick Date Created: 2017-02-07
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ACTION TAI�N:
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Stntua: 1n Progress 5ubmitter Hu Been �..,
Contacted
Dxte Completed: Completed by:
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41l��ea-�e�ar�rnea�tt
5431 l9esiversity l�►venue PIE � � ��a
��'B��QYa M� 55432
763-572-3565 ��Z /� �'� '`�j /
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1/�� her�by authorize the�i�ty af Fridley andjar its es�pioyees to sto what is necessary ta
� replace'thhe water meter. 1 vnderstand ti�at�he�roperty owner as liable for the water line frrom the main to the premise and a11 iaterior
p4umbing. {Per City sode 402.06) i atso hold the City�f Fridley andJits employees harmless#or any damages that may occur+rhile doing thls
o�oeration. This#o include,but not limrted to valves,gipin�wails,floors or the curb sto�o box and service line. in understand 1 am also requii
to obtain a permit prio�r to amy eerork,�f aecessary.
�IMA�I fVtETER EtEADiNG(old meter � � "� ���
Name: `� v � Address ' r v ` �
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Pbone Number ` _ `���� '� � �
Date_,� � �
Signatur� � Yfr'rtness Signature
OLD MEfER#�j- l �����
OLD READtMG ���- 1 2 J�
RiEW M€TER#__ 16J�AJ�� � t
NEW READNVG
ERT# 6 � [� 4 w ���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADRAINISTRATION
tRef Ord No 113,464,565,�66,629,638,662,922,988,1144,1i56,2i91)
4Q2.5 PERMIT FEE
Prior to constructing or repair of ar�y waCer of sewer tine connecting the e�cisting municipal sys#em and arry hause or buildirig fo�whic.�the
applicafiion is made,the owner or corrtractor shal(be required#o obtain a permit for such connection,and sha(1 pay a permit fee as provided in
Cha�ter 11 of this Code. After such connect3on has been made,the Water and Sewer Departme�shali be notified. it shap be untarvful to t�
arry connecting(ine untit ar►inspection has been anade aad such connection and the wor�c inaderrt thereto has been approved by the City as a
proper and suitabte conaection.
402.06 REPAlRS AP(D lUtAfA1TENANCE TO CONNECI'IQN
After the inifiiat connecciort has been made to the water service curb stvp I�ox or the sevrer tead at fihe propetty line ar a water service lead itas
been extended to fihe property line for conn�ction,the applicarrt,owner,or accuparrt or user of such premises shatt be liaWefor ai{repairs
required to any water lPne and sewer lines necessary for connection of the premises from the mai�to the premises. If dze property ows�er
requests mairrtenance service or repairs be perFormed by the City,the property owner shaU be charged for#he costs af the mairrtenance and/o�
repairs,inc{uding necessary street repairs at a rate set annually try an administrative poticy. It shaq be the responsibi[ity of the appiicarrt,
owner,occuparrt or user to perform standard mairnenance of the sewer service line from the premises to fihe main inciuding debris dearing or
root cutting and to mairrtain the water seruice curb stop box for operabii'ity and at such height as wili ensure that it remains a6ove the finished
grade of khe land or property. (Ref 638,1156,1191)