Meter Swap t
ti Request Number: 15696
Public works Division
Service Request
Problem Address: 261 Ely St Requested By: 3udy Montour
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMK METER Phone Number: 763-186-4893
Scheduled Date: 2017-06- 5 � Schedeled 11me: 10:30:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-01
ACTION TAI�N:
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Status: In Progress Submitter Has Beea r
Coutacted
Date Compteted: �— 5— �� Compteted by:
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� 6431 l�niversity Aversue NE ��� �
Fr6dley,MN 55432
7fs3-572-3566
!/we hereby authorize the Gty of Fridfey and/or its employees to do wf�at is necessary to
rep9ace the water meter. t understand that the properly owner is liable for the water line from the main to the premise and al(irrterior
plumbing. (Per City cade�02A6) 1 atso hoid the City of Fridley and�ts empioyees harmfess for arry damages that may occur while doing this
operation. This to indude,but nat limited to valves,piping,wat[s,floors or the curb stop hox and service line. tn unders�tand 1 am also requin
to abtain a permit prior to any wark,if netessary.
FINAL METER READING(oid meter) � `I � � "
Name:,_,� ��wV��+►-1I � �,'L, t
Address
Pho�e lvumber ��J ` ��� "�� �ate _ �'— � "' l� Q��,. '
,, Signature Witness Signature '�
OLD NlETER � �/� v v
# �
OLD READdNG l. v � ���
NfW�ViETER# - i � �p�, V� �.p�. �
NEW READtNG �
ERT'# ��p�.0`, � �J �
E��n��r c�rr couE
CHAP7'ER 402.WATER,STORM WATER AND SANITARY SEWER
ADM(NISTRATION �
(�ef Ord No 113,464,565,566,629,638,fi6Z,922,9$8,1144,1156,1191)
402.5 PERf1tII"i'FEE
Prior to constructing or repair af any water of sewer line connecting the existing municipai system and any housg or Iwiiding for which ihe
application is made,the owner or contrador shait be required to obtain a permit for such conaection,and shat!pay a permit fee as provided in
Chapter 11 of this Cade. After such connecCion has�een made,the Water and Sewer Departmerrt shal!be notified. It shai!be unlawful to coVer
any connecting I+oe urni!an inspection has beert made and such connection and the woric�ncsdent tfiereto has been approved 6y the Ctty as a
proper and suitable connection.
402.06 REPAIRS AAi[D MAINTEIUANCE TO CONfYEC'170Pf
After the initiai connecCiort has been made to the water service curb stop{wx or the sewer tead at the property line oc a water seroice iead has
been extended to the property line for connection,the applicarrt,owner,or occupar�t ar user of such premises shall be iiabie for ait repairs
required to any water Gne and sewer lines necessary for connectior►of the premises from the main te the premises. 1f the property owner
requests maintenance service or repairs be performed by the C'rty,the properiy owner sha116e charged for the costs a�f the mairitenance and�or
repairs.inctuding necessary street repairs at a rate set a�nually by an admittistrative poiicy. It shalt be the responsibility of the applicant,
owner,occupant or user to perform standard mairitenance of the sewer service line frvm the premis�s to the main inciuding debris dear+ng or
root cutting and xo mairnain the water seruice curb stop box for operability and at such height as wiN ensure that it remairts above the finished
grade af the iand or property. (Ref 638,1156,1191j