Meter Swap �
� Request Number: 15807
Public works Division
Service Request
Problem Address: 665 Dover St Requested By: Gary Baneke
Department: WATER Addresa: No address�xovided
Problemllssue: INSTAL,L AMR METER Phone Number: 952-2Z0-5950
ScheduledDnte; 2017-06-12 Se6edafedllme: 08:00:00
2� �r�
ACIION NEEDED:
Created by: Beth Ko�hick Date Created: 2017-06-06
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been r
, Co�acted
Dnte Compteted: Completed by:
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�aty o��r6dley ��� � �'7 ��� �/
� Wa�er Depa�rraen� CU� 7 ���
, 5431�neversityAveroue NE �J
F�odley,MN 55432
763-572-3556
�/'iYe hereby authorize the�ty of Pridley and/or its employees to do what is necessarY to
replace the water meter. 6 a�ndentand that the pro�oerty owner is liabte for the water line from the main to the premise and all interior
plumbing. (Per�L'ity code�U2.06) 1 also hold tF�e City of Fridley andPts employees harmtess for any damages that may occur while doing this
operatiom. This to incfude,but not limited Co valves,pipin�walls,floors or the curb sfiop box and service line. In understa�c!!am aiso requirE
to obtain a permit prior to any�roe�c,if necessary.
FBNAL METER READIA{G(old meterj b � Z�� O
Name• '"-`^"1 �C/I�, Address CJ � Z5" " � �
Ahone Num � �'���� p� �j'� 1 Z� `�
�Signature r itness Signature
o�.o nn�reR# �q' �22�2_�
OLD READlNG_ � �, �- I � �O
NEW METER#�[ � (/'(����, 1
NEW READING �
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FRIDtEY CIT!CODE
CliAP'iER 402.WA'�ER,S7'ORM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,4�4,565,566,629,538,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conaecting the existsng municipai system and arry house or buiiding for which the
applipition is made,the owner or contractor shall be required to obtain a permit for such c�onoection,and shaii pay a permi#fee as provided in
Chapter 11 of this Cade. After such connection has been made,the Water and Sewer Departmerrt shall be nofified. It shali be untawful to cover
any conneding line urrti!an inspection has been made and such connection and the work inaderet thereto has been approved 6y#he City as a
proper and witabie connection.
402A6 REPAIRS AR1D MAINTENAMCE TO COMPIECTION
After the initial connection has been made Lo the water s�rvice curb stop box or the sewer lead at the property lirie ar a water service►ead has
been eactended to the property line for connection,the applicarrt,owner,or occuparrt or user of such premises shall be i(abie for ait repairs
required to any water line and sewer Gnes necessary#or connection of the premises from the maia to the premises. tF the property owner
requests mairrtenance service or repairs be performed 6y the�ty,the property owner shali be charged for the casts of the mai�rtenance andjor
repairs,inciuding necessary street repairs at a rate set annuatly bg an administrative poliry. It shall be the responsibitity of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer ser+rice tine frorss the premises to the main inctuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as arill ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)