Meter Swap �
' Request Number: 16533
Public works Division
Service Request
Problem Address: 7677 Bacon Dr Requested By: Ruth Nelson
Department: WA1ER Address: No�ress provided
ProMem/Issue: INSTALL ANIlt METER Phone Nnmber: 612-619-8561
Scheduled Date: 2017-08-28 Schednled 13me: 02:00:00
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ACTiON NEEDED:
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� Created by: Beth Kondrick Date Created: 2017-08-01
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r� ;,�'.;' ACIION TAI�N:
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Status: In Progress Submitter Has Been �.
Co�scted
Date Completed: � _ �� �� Completed by�t,�
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�ity o��raeH6ey n r �(Cj���� �D�
s ��'��6'�e�9a�C7��87t �(/� y/ �
` �43�.U�aiversity Avenue NE c b � ,���
Fridley,MP! 55432 `�
763-572-3566
oB`i°e hereby authorize the City of Fridtey and/or its employees to slo avhat is netessary ta
replace the water meter. t understand that the�roperty owner is liable for ti�e water line from tfie main to the premise and all interdor
plumbing. (Per C'ity code 4�02.06J t atso hold the�ity of Fridley and/its employees harmtess#or any dasc�ages that may occur while doing this
operation. This io include,but not limited to vatves,pipis�g,waNs,floors or the curb stop box and service line. in understand i am also requin
to obtain a perm�t gsrior to any work,if necessary.
FiP1AL METER READtNG{oid mete�j � �� ���
Name: ��� 1 V Fi�p)e9-V1., Address ! �� / �j�%1,�f9a'�. �✓�"•
Phone Number ��'�-"�' � Y 4� ��ISC�1� p� �"��(�J "� 1,
�I��a�t�N � �—_
�5�.�'�� 1Nitness Signature
Ol.D METER#__ ��O� ���
OLD READIPIG �������✓
NEW METER#� 1 �/ �/ � � � 1
NEW READIIVG �
ERT# � ��a I � `-�
FRIOLEY CITY CODE
CHQt�TER 4QZ.WA"rEER,STORM WATER AND SANiTARY SEWER
ADMIMISTRATION
(itef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of arry water o�F sewer line connecting the�xisfing municipal system and arry hfluse ar buitding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Cade. After such connection has been made,#he Water and Sewer Departmer�t shall be notified. It shali�unlaurful to toaer
ar►y connecting line until an inspection has been made and such connection and the work inciderrt thereto has been app+'oved by#he C1ty as a
proper and suitabte connection.
402.06 REPAIRS AiYD MAINTENANCE Tp COfYNECTfOM
After the initia)connection has been made to the water service curf�stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,tbe applicarrt,owner,or occuparrt ar user of wch premises shalt be liabte for alI repairs
required to any water line and sewer lines necessary for cos►nection of the premises from the main to the premises. if the property oarner
requests maintenance service or repairs be performed 6y the C'rty,the property owner shall be charged for the costs of the mairnenance andJor
repairs.+acluding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the app{icant,
owner,occupant or user to perform standard maintenance of the sewer service(ine from the premises to the main includtng debris dearin�or
root cutting and Lo maintain the water service curb stop box for operab�lity and at such height as wii(ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191J