Meter Swap - � Request Number: 12995
Public works Division
Service Request
ProW em Address: 1380 75th Ave Requested By: Michael Jalma
DepartmeM: WATER Address: 1380 75th A�c
FricIley,MN 55432
Problero/Issue: INSTAI.L AMR METER P�ne Number: 612-868-296'7
&heduled . 2017-01-2 Sc6edaled 1lme: 10:00:W
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ACTION 1�iEEDID:
Created by: Beth Konchick Date Cre�ed: 2017-01-ZO
AC"IION T'AKEN: � ; "K-
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Status: In Progress ��rter Has Been r
Cont�ted
Date Completed: Completed by:
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iNa#er�e�artrnemt �' 1
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Frid9ey,MN 55432 �v 3 -S7�G���r�f
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753-5?2-3566
• ljwe_ here6y authorize Yhe Ciiy af Fridley and/or its employees to alo what is necessary to
replace#he water rneter. 1 understand that the properry owner u liable for the mvater line from the main to the p�emise and ai{irrterior
plumbing. (Per City code 402.06) i aiso hold the City of Fridley and/its employees harmfess#or ar�y damages that may occur while doing this
operation. This to�nctude,but not limi#ed to valves,p�ping,waffs,floors or the curb stop box and service line. In understand!am also cequire�
to obtain a permifi pr'sor ta as�y wor�c,if necessary.
FINAL METE READiNG{old eter)
t� �a�z �' Z�
�lame• ��• Address �� � �/�
Phane Number �� � � � p� `'����
Signature � _. Witness Signature
OLD METER# 2-- �--t �S 3 S �Z�(
OLD READiNG_�� �Z� �
NEW METER#_�����
NEW READtNG
ERT# D V �
FRIDLEY C{7'�f CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
AQMINISTRATION
�Ref Ord No 113,464,565,566,629,538,662,922,988.1144,1156,1191j
402.5 PERMlT FEE
Prior to constructing or sepair of any water of sewer 6ne connecting i�e existing muniapai system and arry hvuse oc buildis�g fo�wfiich the
app4icafiion is made,the owner or cormactor sha(!be required to obtain a permit for such connectian,and shall pay a permiT fee as provided in•
Chapter 11 of this Code. After such con�ection has been made,the Water and Sewer Department shali be notFFied. i�shall be untav�tvl to c.aver
any cannedartig line urrtif an inspection has been made and such connecCioa and the work inaderrt thereto has been approved by the C'ity as a
proper and su'rtabte connection.
a02.06 REPAIRS APlD�1IIAINTENANCE TO CONNECT1QN
After the initiai connection has been made to the water service curb stop box or the sewer lead at fihe property line or a water service Iead has
been exCended to�Che property line for connection,the aRP���M,owner,or accupant or user of such premises shall be liabte for a!f repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner ;
requests maintenance service or repairs be perFormed by the Crty,the property owner shali be char�ed for the costs of the maicrtenance andj�
repairs,ir+duding necessary street repairs at a rate set annuaUy by an adminisirattve po!"�cy. ft shalt be ti�e respor►sibility of the appiicarrt,
owner,occuparrt or user to perform standard maintenance of the sewer service line firom the premises to the main including debris dearing a
root cutting and to maintain xhe water service curb stop box for operability and at such height as wili ensute that it remains above the finished
grade of tfie land or property, (Ref 638,1156,1191�