Meter Swap ' Request Number: 13121
Public Works Division
Service Request
Problem Address: 1400 76th Are Requested By: Peter Jacot�
Dep�rtme�: WA1ER Address: No address provided
Problem/Issue: IN5TALL AMR METER Phone Number: 612-710-6568
Schednled Date: 2017-02-03 Scl�dnled 11me: 08:30:00
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ACIION NEEDED:
Created by: Vt�endy Hiatt Date Created: 2017-01-27
ACIION TAi�N:
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Status: In Progress ���er Has Been �,
Coatacted
Date Compteted: �... '� —�� � Completed by: � (, �
V F
�rvatea-�par��xaent
5431 dlniv�rsit�l�,verea�e 9VE �� p� ��� �
Friclley, Ml6t1 55432
753-532-3566 � � _s��(�(� - U�
' '/'A°� her�by authorize the City/af Fritlley and/or its empioyees to do what is necessary to
re{�lace#he water meter. 1 understand that the propea�l.y owner�s{iabie for fihe water line from the main to the premise and ap irnerior
plumbing. (Per Crty cocfe 402.06j i also hold the�oty�of Fcidley and/its employees harmless for any slamages that may occur while doing this
operation. This#o include,but not limrted to valves,p�ping,watis,floors or ithe curb skop boz and service line. in understand!am also requir
to obtain a perm'rt prior to ar�y�rorlc,if necessary.
FUVAL METER READIAiG(old meterj � I� �� v
Name: �Pi�.Y , ��p`j rJ Address_ � (,�0 !��� �--
Phone iYumber l.l'� 7 2-" �� "�5�j Date �`� � ""-�Z
���� Witness Signature �'""'
o���-E�#__ ��35 2� 3d
OLD READtNG_ ` Y� ��(�
R1EW MfETER# ���O��c;SD
NEV4/READI6VG C�
ERT# � ' � � ��� .
FRIDLEY CITY CODE
CHAPTER 402.W�►TER,STORM WATER AfYD SANITAitY SEWER
ADMIN ISTRATION
(RCGf Or'd PIO 113�464'S65�566s 629�638�662�922�988P 1144�I156�1191)
402.5 PERMIT FEE
n
Prior to constructing or repair of arry�rater of sewer tine wnnecting the existing municipal system and am/house or bulding for whid�the
appiication is made,the owner or corrtractor sha(1 be required to obtain a permifi for such connection,and shall pay a permitfee as provided�rt
Chapter 1Z of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. tt shall be untawful to co�re
arry connecting line until an inspection has 6een made and such connection and the arorlc inciderrt thereto has been appro�ed try the City as a
proper and suitable connection.
402.06 REPAiRS AIttD MAINTENANCE TO C0IYNECTION
After the initiat connection has been made to the water service parb stop box or the sewer tead at the property line or a water service f�d has
been extended to the property line for wnnection,the appiicar►t,owner,or accupan#or user aF such premises sF�ati be Nabie for�1�repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owrrer
requests mairrtenance senrice or repairs be performed by the City,the proper#y owner shail be char�ed for#he costs of the mairtternance and(a
repairs,including�ecessary street re�airs at a rate set an�ually!ry an admin'�strative poliry. It sbali be the responsibility of the applicarrt,
owner,occuparrt or user to perForm standard mairrtenance af the sewer service line from the premises to the main including debris deari�g or
root cutting and to mair�tain the water service curb stop box for operabili#y and at such height as wiii ensure that it rernains a6ove the finished
grade of#he land or property. (Ref 638,1156,1191)