Meter Swap �
� Request Number: 15662
Pnbfic Works Division
Service Request
Problem Addres�: 542 Ely St Requested By: Art
Depxrtment: WATER Addre:a: Nq address provided
Pro�em/Issue: INSTALL AMR ME1ER P4ose Number: 763-?84-?204
Schedaled Date: 2017-06-07 Sc6�daled 11me: 10:30:Q0
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AClTON NEEDED:
Crented by: Wendy Hiatt Date Created: 201�-05-31
ACTION TAI�N:
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Status: In Progress Sabmitter Hsa Been r
Contacted
Da�te Compieted: Completed by:
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� 6431 Liniversity Averoue NE
Frodley➢MN 55432
763-572-3556
��'Ne hereby authorize the Gty of Fridley and/or its emplayees to do what is necessary to
repiace fihe water meter, t understand that the property owner is liable for the water line from the main to#he premise and al{irrterior
pturnbing. (Per�'oty code d�02A6) 1 also hold the Gty of Fridiey and/iis employees harmless for arry damages that may oocur whiie doi�g this
operation. This to inctude,but not 6imited to vafves,pipin�walls,floors or the curb stop box and service line. In understand t am aiso rec�uir�
to abtain a permit prior to any work,if necessary.
F{NA4.ME7'ER READING(old meter) ��� � ��O
Name: �'"� Address iJ� � � LJ\
Phone lYum �` � ��`''� pate IC J���' ��
�Signatur Witness Signature
OLD NlfTER# ��a � L � �
OLD READING _ �� 1 � � �O
NEW METER# �-4Z�� � �' �
NEW READING L/
E�� �72���0 �1�1
FRIDI.EY CITY CODE
CHAP'TER 402.WATER,S'TORM WATER AND SANITARY SEWER
ADMIIYISTRATION �
(fief Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMiT FEE
Prior to constructing or repair af any water of sewer line rnnnecting the existing municipal system and arry house or buiiding for which the
application is made,the owner or contractor shaN be required to obtain a permit for such conaection,and sha(1 pay a permit fee as provided in
Chapter 11 af this Code. After such connectIon has been made,the Water and Sewer Departmerrt shall be notified. It shail be unlawful to cover
any connecting line urrti!an inspection has been made and such coonection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AWD MA►NTENANCE TO CQMNECTION
After the initiai connectioo has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occuparrt ar user of such premises shall be ilaWe for all repairs
required to any water line and sewer lines nec�ssary for connection of the premises from tF�e main to the premises. tf the property opvner
requests maintenance service ar repairs be performed by the C"�ty,the property owner shall be charged fvr the costs of the maiMenartce and/or
repairs,including necessary street repairs at a rate set annually bY an admirtistrative poltry. It sfialt be the responsibil'rty o�F the appiicant,
oruner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main inciuding rlebris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains ahove the finished
grade af the land or property. (Ref 638,1156,1191)