Meter Swap � Request Number: 15676
Public Works Division
Service Request
Problem Address: 511 Dow�r St Requested By: Janice Hamcon
DepArtment: WA1ER Address: No address provided
Problemllssue: INSTAL.L AMR METER Phoae Number: �63-784-8870
Sch�duled Dnte: 2017-06-02 Schednled Ttme: 01:00:00
� ��t 2~� � r�-,
AG"TION NEEDED:
Created by: Beth Kondrick Dnte Crented: 2017-OS-31
ACIION TAI+�N:
^`�J���'�-�"Y
(.4J
Status: In Progress 5ubmitter Has BeeH `.,
Contacted
Uate Completed: �_ Z,r l� Completed by: �a
�-"e
�aty of�r6dley ���p�� /� 1
Water Departroaen# � C/ V �
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6431 l�niversity Avenue NE
y Fradley,MA1 55432
7fi3-572-3566 �� � ���
1/we hereby authorize the City of Eridley and/or its emp(oyees to do what is necessary to
replace#he water meter. I understand that the pro�oerty owner is liable for the water line from the main to the premise and ali irrterior
plumbing. (Per City s:ode B02A6) 1 also hold the Crty of Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the cur6 stop box and senrice line. in understand 1 am aiw require
to oFrtain a permit prior to any worlc,if necessary.
FBNAL METER READINfG(old meter) � "� � � O
Name: ��`e. ����(n Address_. ��� �(��'Pi� ,��.
Phone Num6er y�✓"- l V�"vV G� pa� � � a ` ��
f
� Signatur �—
J-�--
Witness Signature
OLD METER# L���� ¢����� �
OLD READING � �� �" �
NEW METER# � 1�� ���o
NEW READING v
E�-# �Z��,�.�7 ��0 3
FRIDlEY CITY CODE
CHAP'CER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(I�ef Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such cronnection,and shatl pay a permit fee as providedrip
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified it shall be untawful to cover
any connecting line until an inspection has been made and such co�nection and the work incident thereto has been approved by the City as a
proper and suitable connectiort.
4Q2.06 REPAIRS AR1D MAIPITEPIANCE TO C�NNECTION
After the inifiat connection has been made to the water service cur6 stap box or the sewer lead at the property line or a water service dead has
been�extended to the property line for connection,the applicar�t,owner,or occupar�t ar user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary#or connection af the premises from the main fio tfie premFses. tf the property owner
requests mairrtenance service or repairs be perforrned by the City,the property owner shali be charged for the costs of tl�e mairrtenartce and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the respansibility af the applicar�t,
owner,occupairt or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and#o maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191J