Meter Swap - Request Number: 13168
� Public Works Division
Service Request
Pro�em Address: 1443 75th A� Requested By: Ken Yang
Departme�: WATIIt A�ress: 1443 75th A�e
Fridley,MN 55432
Problem/7asae: INSTALL AMIt MEZER Phone Namber: 651-336-9723
Scheduled Date: 2017-02-06 �i�edoled 1lme: 08:00:00
l_.(.
ACIiON NEEDED:
Created by: Beth Kon�ick Drte Cte�ed: 2017-01-30
NT .
�
St�us: 1n Progress Sab�itter Has Beea �
CoMacted
Date Completed: Completed bq:
2- �-fti� ���
watee'�partrnent S b p�a�p v'- /
6431 Universit�r Aven�e NE
Fridtey, MN 554.32
. 753-572-3566 ��J? ^.s�3 (��D �(,�
!/we her�by authorize the Ciiy af Fridley and/or its employees to do what is necessary to
` replace#he water meter. 1 understand that the property owner 9s liable for the water line from the main to the premise and all ir�terior
plumbing. (Per City code 402.06j i a#so hofd the Crty of Fridtey andJits employees harmless for any slamages that may occur while daing this
operation. This to incfude,but nat lisn'rted to valves,piping,walis,floors or the curb stop boz and service line. In understand 1 am also require�
to obtain a permit prior to any vvo�c,if a�ecessary.
FlfltAl.METER READING{oM meter) ���� " �
Name: W�''� � Address_ _`��� ! �� �
Pho�e Num6er� �,7' ��� ^q,� �i�� 2.'y+ ��
Signature Wttness Signature
o�n nnEr�a�_ �2-� 3 � �'� �o
OLD READING- 4����,�
NEW METER# �'(��/����V
NEW READfIVG �
ERT# � ���SS�
FRfDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN ISTRATION
(Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144.,115fi,1191)
4Q2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipaf system and any house or buildirrg for which the
application is made,the owner or contractor shall be required to o6tais�a permit for such connection,and shaU pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmern shait be n+otified. it shail be unlawful to cover
any connecting line until an inspection has been made a�d such connection and the work inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AIYD MAINTENANCE TO CONNECCIQN
After the initial connectiort has been made tv the water service curb stop box or the sewer lead at t(�e property line or a water service lead has
been extended to the property line for connection,the appiicaat,ownes,or accuparrt or user of such premises sFiali be iiabk for ail repairs
required to any water line and sewer lines necessary for connection of the press�ises from the mai�to the premises. ff the property owner
requests maintenance service or repairs be performed by the C'ity,the property owner shali be charged for the cosCs aF the mairrtenance andJor
repairs,including�ecessary street repain at a rate set annuatly by an administrative policy. It shall be ti�e responsibifity af tfie appficarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main indudirig cfebris dearing or
root cutting and to maintain the water service curb stop box for operahility and at such height as wili ensure Chat it remains abmre the finished
grade of#he land or property. {Ref 638,1156,1191j