Meter Swap � Request Number: 13300
Public Works Division
Service Request
ProMem Address: 7600 Brigadoon PI Requested By: Robert Kratsch
Departmeat: WA'IER Addreaa; No address provided
Problem/Isaue: INSTAL.L AMR ME1ER Phone Namber: 1-218-591-7249
Scheduled Date• 2017-02-08 , , Sc6edaled 1lme: 07:00:00
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ACIION NEEDED:
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Created by: Wendy Hiatt Drte Cre�ed: 2017-02-06
ACTION TAi�N:
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Status: In Progress Snbmitter Hns Been r,
Cout�ted
Ihte Completed: Completed by:
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F�id�ey,MN 55432 �
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�/'"�e hereby authorize the C�ty af Fridley and/or its empioyees to slo what is necessary
re�lace the wafier meter. i understand ti�at�he propea�ty owner as tiable for the yvater line from the main to the premise and all imerior
plu+s�bing. (Per C"rty code 402.06) i also hold the�C'rty of F�idley and/its employees harmless foe any damages tFaat may occur while sloing tP
opewation. This#o�ncfude,bufi not limited+to vaives,piping,wails,fbors or khe curb stop box and service line_ In understand 1 am also req
to ubtain a permit prios to arry�vor4c,�f necessary.
�INIAL METER READNYG ok{meCer) ��� ��O
Name: , 1���''C�� E-��.��'j Ad ���v �f� ��
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Phone Wumber �—�'$-+S 1�~ (4...�� Date �.'�'✓` ��
SigRatare Witness Signaivre
OLD METER# ��� �����
OLD READIiYG=!�—I�J�
NEW METER# �� f V � 1 � S
NEW READtNG L�
ERT#_�t 1��� Z1�'l �
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND S�tNITARY SEWER
ADMlMtSTRAT1pf1(
�Ref Ord No 113,464,565,�66,629,638,56Z,922,988,1144,I15C,1191j
402.5 PERNItT FEE
Prior to constnacting or repair of any water of sewer line connecting the exisfing muniapal system and arry house oc buldir�for which the
appiication is made,the owner or comracto�shai(be required to abtain a permit fo�such connecdion,and s6ali pay a permit fee as provided
Chapter 11 af this Code. After wch connection t�as been made,the Water and Sewer Departmerrt shali be no#fied. R shafl be untawful to co
any connecting line urrtii an inspection has been made and such connection and the work inciderrt thereto has been aqproved by the City as a
proper and suitable connection.
402.05 (tEPAfRS Af11D MAiNTENANCE TO CONi�[EC'170'N
After the initia!connectioR has been made to#he water service curb stop boK or the sewer lead at the property iine ar a water sen�lead ha
been extended#o fihe property line for connedion,fifie appiicarrt,owner,or accupant or aser of wch premtses sbalt be 6abte for a11 repairs
required�o arry water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests mairrtenance service or repain be perFormed by the City,the property owner shali be r�arged for the�af Lhe maintenance and/
repairs,including necessary street repain at a rate set annuatty by an administrative policy, It shall be the responsibility vFthe applicarrt,
owner,ocEuparrt or user to perfornn sCandard mairrtenance of the sewer senrice tine from the sremises to the main indud�ng deb�fis clearing w
roat sutting and to anairrtain the water service curb stop box for operability and at such height as will ensure Chat it remains a6ove the finishec
grade of the land or property. (Ref 638,1156,1191)