Meter Swap ' Request Number: 15746
Public works Division
Service Request
Problem Address: 7857 Alden Way Requested Bys Ms Kemper
Department: WATER Address: No address provided
Problem/issue: INSTALLAMRMETER PhoneNuimber: 5?1-5599
Scheduled Date: 2017-06-0� Schednled'llme: 09:00:00
� �'.�,
ACTION NEEDED:
Cre�ted by: We�y Hiatt Date Crexted: 2017-06-OS
ACTION TAt�N: � � �
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_............._... _._.____..._......__..____._ _..____..__�_. .._._....._._ �.,
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Status: In Pro�ress Snbmitter Has Been r
Contacted
Date Compteted: P__ �� � �-7 Completed by: �
�,�1 / "4��
Ci#y��ridley -J, � ` � ` �O'�D v (
` Water Departenent �� �l/�D
6431 Universi�Averoue NE �" �
` Fridley,MN 55432
763-572-3566
�l""�e hereby authorize the�ty of Fridley and/or its emp(oyees to do what is necessary ta
replace the water meter. I understand that the�roperty owner is liable for the a�vater line from the main to the premise and all irrter6or
plumbing. (Per�ity code�02.06) 1 also hold the City of Fridiey and�ts employees harmless for arry damages that may occur while doing this
operation. This to inc(ude,but not lisnited to valves,piping,watis,floars or the curb stop boK and service line. in understand!am aiso requirc
to abtain e permit�rio�to arry worlc,if netessary.
FBNAL METER READNYG(old meter) J �� ✓ I� D
Name: !"L5 �L W�,��� Address / V
Phone Number � 1�=�� Date VI � l "- ��
�Signature /
Witness Signature
O!D METER# `� � ��"��
�JLD READtNG �3 �� l 3 0
NEW METER# �-1 �aa c� 1 � �
NEW READING v
E�# � ��.�. '-1� 3 �
FRIDLEY CITY CODE
CHAt�TER 4,02.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIOAt �
(Ref Ord Aio 113,464,565,566,629,638,662,922,988,I144,1156,1191)
402.5 PERMIT FEE
Prior#o constructin�ar repair of any water of sewer line conrtecting the existing municipal system and any house or building for which the
application is made,the owner or contrackor shall be required to obtain a permit for such cannection,and shafl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shafl be notified. It shafi be unlawful to cover
any connecting line urrti!an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAIRlTENANCE TO COPINECTIOfV
After the initiat connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or uccuparst or aser of wch premises shai{be{iabie for aii repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. ff the}�roperty owner
requests maintenance service or repairs be performed 6y the�ty,the property owner shali be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an admi�istrafive policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard mair�tenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)