Meter Swap f Request Number: 15689
Public works Division
Service Request
Problem Address: 7492 Bacon Dr Requested By: Mary Aim
Department: WA'IER Address: No address provided
Problem/Issuec IN5TALL AMR ME1ER Phoee Number: 763-227-8663
Scheduled Date: 2017-U6-0 Scheduled 1lme: 07:00:00
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ACITON NEEDED:
Crexted by: Beth ICandrick Date Crc�ed: 2017-06-01
ACTION TAI�N:
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Status: In Progress ��rter Has Been r
Contacted
Date Cempleted: Completed by:
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+ �i'�'/O��6"9C��2Y /O' �' ������ /��
�e �F/���'T�E�aR"f6P9e11�
6431 l9niversilty Avenue NE � � ),/�l��
F�adleyo MN 5543Z y:`�
7E3-572-3556
ijwe hereby authorize the City crF Fridtey and/or its employees to do wtsat is necessary to
reptace the water meter, (understand that the property owner is liahle for the awater line from the main to the premise and all irtterior
plumbing. (Per�ity code�OZA6j 1 also hoid the City of F�idiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to va(ves,piptng,waNs,floors or the curb stop box and service line. IR understand!am aiso requir�
to obtain a permit prior to a�y work,�f necessary.
FINA!METER READING{atd mete�J � � `�' ���
Name: 1 W�+� � Address `^1 �-I�t 2 �E��� �"
Phone�lumber ���'""22�'.' 6�0 �Q"�'r' `�
�Signature � Witness S�gnature
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OLD NlETER# ����✓���/
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OLD READING � � Q �� �j O
RlfW METER# �.�22-�� 5��
PIfW RfADiAiG O
E�-# 1222�I � �'�
FRIDLEY CfTY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANtTARY SEWER
ADMfNISTRAT10i�I �
(Ref Ord No 113,+€64,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair Qf any arater of sewer{ine connectirtg the existing municipal system and arry house ar buitding for whith the
application ts made,the owner or contractor shall be required to obtain a permit for such connection,and shait pay a permit fee as provided in
Chapter 11 of this Code. After such conneccion has been made,the Water and Sewer Departmerrt shall be notified. It shall be un(awful to cover
any connecting line ucrtil an inspection fias been made and such connection and the woric incident therefio has been approved by the C�ty as a
groper and suitabie connection.
402A6 REPAIliS AIYD 91AAI1VTENANCE TO COPINECTIOiV
After the initial connection has been made to the water seryice curb sfiop box or the sewer iead at the property line or a water seMce lead fias
been extended to the property line for connection,the appficant,owner,or occupant ar user af such premises shaii be liabie for a0 repairs
cequired to any water line and sewer lines necessary for connection af the premises from the main to the premises. !f the pmperty owner
requests maintenance service ar repairs be performed by the City,the property owner shail be charged for tl�e costs af the maintenance and/ar
repairs,including necessary street repairs at a rate set annualiy by an administrative po{icy. It sfiaN be the responsibility of the appiicant,
owner,occupant or user to perE'orm standard mairrtenance of the sewer seroice line from the premises to the main inctuding debris dearing o�
root tutting and to mairrtain the water senrice curb stop box for operability and at such height as will ensure that it remaisu above the finished
grade af the fand or property. (Ref 638,1156,1191)