Meter Swap , Request Number: 12856
Public Works Division
Service Request
Probtem Address: 1430 76th Are Requested By: David Sathre
. Departmeet: WATER q�r�$: 1430 76th A�
Fridtey,MN 55432
ProMem/Issue: INSTALL AMR ME7ER Plronc Nwnber: �63-498-2684
Sc�dnled Date: 2017-01-20 � Scl�d�t�d 11me: 10:30:Q0
, � :
AC'lION NEEDED:Ivstall AhIIt
Created by: Beth Ko�ick Dste Created: 2017-01-13
ACTION TAI�N•
►-�5� � � � ``�,
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Stat�: In Pro ss Snbmitter Has�ecn �,
� Contncted .
D:te Coffipteted: Ca�leted by:
1 -- 2� - /�
I �
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�rt3l or rr�aoey � /
Water�epartrnent S C� ��� � j
6431UniversityAvenueAfE 5�3���,� i -
, Fridleyy MN 55432 ����'
763-572-3566
• �/We hereby authorize the Gty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per Crty code 402.06) 1 also hold the City of Fridley and/its employees harmless#or any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service tine. In understand 1 am also required
to obtain a permit prior to any worlc,if necessary.
FINAL ME7ER READING(oid meterj � " ���
Name: �, f ��� �v �I Y\ v(`�i Address ,� � ����
�`2 ���,�, � `�
Phone Number�C7 r,' � �>>''�^"� Date 1'��� � (
Signature ��� _ Witness Signature
QLD METER#�(/� J�� �O�
OLD READING�� ZZ- I�
NEW METER#_- V 1� I��✓- {CO�
NEW READING �/
ERT#
V1��� � I�P �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,635,662,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and arry house or building fo�which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and sbalt pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer DepartmeM shall be not�f'ied. it sha111�unlawful to c�ver
any connecting line untii an irispection has been made and such connection and the worlc inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at fihe property line or a water service lead has
been extended to the property line for connection,the appiicant,owner,or accuparrt or user af such premises shall be Itabk for all repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be pe�formed by the C'rty,the properly owner shall be charged for the costs of the mairKenance and/or .
repairs,including necessary street repairs at a rate set annually by an administrative poliry. R shaH be the responsbi(ity of the applicarrt,
owner,occuparn or user to perform standard maiMenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)