Meter Swap " Request Number: 13198
Pubhc Works Division
Service Req�st
Problem Address: 1474 76th Ave Requested By: I?eborah Omw
Department: WATER Address: No address provided
Problem/Issue: INSTAL,L AMIt METER Phone Number: 763-208-1232
ScheduledDat • 2017-02-10 Schedaled'i1me: 11:3d:00
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ACIION NEEDED:
Created by: Wer►dy Hiatt Date Created: 2017-02-01
ACIION TAKEN: �
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Stat�: In Progress ���er HAs Been �.,
Contacted
D�e Compteted: Completed by:
Honrs
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�,�°� hereby authorize the�'rty of Faidley and/or its employees to s(o arhat ds necessary
, replace the water meter. !t�nderstand that the g�ropea�ty owner u liable for the water line froen the cnain to the premise and all emerior
plumbing. {Pes Ci#y sorle 402.06� 1 also hold the City uf Fridley and/'rts empioyees harmless#or ar�y damages that may occur rrhile doing tI�
operation. This#o anclude,bufi not limited to valves,pipirsg,waUs,floors ar ihe curb stop b�ox and senrice line. In understand!am also a��q
to obtain a permit praoa to any�erurk,�f aecessary.
�FttkA1.M R ttEADttdG(o!d meterp � � � �� O
lYame: dress � �
Phone Number���"� � �/���j. Date i� �� ��
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Signature ,� Witness Signaivre �—�!^
OLD METER# s��""�GJ�6� � ��
OtD READtMG � 1 � �� �
R�EW METER# _ f �✓ 6�����
NEW READIIVG �
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FKIDtEY Ci'!'Y CODE
CHAPTER 4QZ.WATER,STORM WATER i4ND S�tNtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,46�E,565,56&,629,63$,662,922,988,i144,ii56,1191]
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the exisCing municipaf system and arry i�ause ar buiidir�for which#he
appiicatSon is made,the owner or corrtractor shaff!oe required to obtain a permifi for wch connection,a�d staali pay a perm+�fee as prq�ided
Chaptes 1a of#his Code. After such conaection 6as been maide,the Wa#ec and Sewer Departmertt shali be no'hf'ied. It shail be untawfu!to cc
arry connecting tine until an inspection has 6een made and such taonnection and the+vordc inaderrt thereto has been approved by ifie C'rtFj as a
prope�and suitab{e conneckion.
M02.�i REPAlRS AND!WA{NTERIAAiCE TO CONNEC7iQN
A�fter the inifiia(connectian has been made to the water service uarb stop box or the sewer lead at the prvperty fine rn a water serv�lead tia
been extended to the property Irne for conned3on,the appiicacrt,awner,or accupar�t or user o#such premTses shatt be ItaWe fa ali repairs
required to ar►y water t�ne and sewer(ines necessary#or connectian of the premises from the main to the premises. !f tlie property owner
cequests mairrtenance senrice or repairs be perFormed by the C'ity,i�e property owner shaN be d�arged for the tosts aF Lhe mairrterrance and(
repairs,inciudi�g necessary street repairs at a raCe set annuaily by an administrative policy. tt shal!be if�e respansbitity o#the a{�Siicasrt,
owner,ocEuparrt ur user to perForm sCandarc!maimenance of fihe sewer service line from the premises to the main including debris dear�ng o+
root cutting and to mai+�tain the water service s.urb stop box for o�erabifity and at such height as wifl ensure that tt remains ahove the finishec
grade af the land or property. (Ref 638,1156,1191)