Meter Swap � ' Request Number: 12894
Public works Division
Service Request
Problem Address: 1376 76th Ave Requested By: Lee Wen
Department: WATER A�PC88: No adc��ess provided
Problero/Issue: INSTALL�1NII�METER Phone Number: 651-42&9325
Schedul dDate: 2017-01-18 Schednled'17me: 11:30:00
W� �c�-7 i''1 �'`l�` 1
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-17
AC'IION TAKEN:
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Status: In Progress 5abmitter Hxs Been �.,
Cont�ted
Dxte Coa�pteted: t�— ��-- �� Completed by: �G,.�,
� r
� �
F, ,
�o�or rr�aoey
Water De�sartment " I� �
6431 Univ�rsity/Avenue NE � U -' l"� � ��
_ - i ,�Fridley,MN 55432 �U'�j -S�U'.�"/�'�
' 763-57Z-3566
, �/We hereby authorize the City of Fridiey and/or its employees to slo what is necessary to
replace the wafier meter. !understand that#he property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per Gty code 402.06j i also hold the C'rty of Fridley and/ifis employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop boz and service line. ln unders�tand t am a{so required
to obtain a permit prior to any wor6c,if necessary.
FINAL MfTER READING(old meter) � � � 1, � " �
Name: ��� "- e � Address__���� �� �� '
Phone Number�2� � -- —t�� � l�v`] Date � ` � � � `
�--
Signature � ��L� Witness Signature
OlD METER# ��� / � � ��
OLD READtNG_� � � � � ��
NEW METER# �� � I V���
NEW READING �
ERT# co 888 c�c� c�� �
FR{DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry hause or build�ng for whid�the
application is made,the owner or contractor shatl be required to obtain a permit for such connectlon,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be unlawful to cover
any cannecting line u�rtil an inspecfiion fias been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEPtANCE TO CONMECf10N
After the initial connection has been made to the water service curb stop box or Che sewer lead afi the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user o#such premises shal!be liabie for aii repairs
required to any atater line and sewer tines necessary for connection of the premises from the main to the prem'�ses. ff the property owner
requests mair�tenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mairttenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of N�e applicarrt,
owner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main includi�debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that�t remains above the flnished
grade af the land or p�operty. (Ref 638,1156,1191)