Meter Swap D
� Request Number: 15717
Public Works Division
Service Request
Problem Address: 8114 Fairmont Circle Requested By: Jerome Krekow
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-432-3301
Scheduled D 2017-06-0 Schednled 1lme: 01:30:00
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ACTION NEEDED:
CreaEed by: We�dy Hiatt Date Created: 2017-06-02
ACT'ION TAI�N:
____�'►_�:�:�...�.._.._..._......._� µtZ. __ ___�__._..�..._..._.____ ____
Status: In Progress Sn1►mitter Aas Been �.,
Conts�cted
Da�te Completed: Completed by:
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water�epa�tm��,t ����
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� 6431 lJniversoty A�renue iVE
Frodley,MN 55432
763-5T2-35fi6
��""�e hereby authorize the Cifiy of Fridley and/or its emp(oyees to do wt�t is necessary to
replace the water meter. 1 understand that the property owner is liable for the aNater�ine from the main to ihe premise and aff iMerior
plumbing. (Per C'rty code 4�2.06) 1 also hold the Cifiy of Fridiey and/its err�ployees fiarmless for any damages that may oca,ir while doing this
operation. This to include,but not lim'rted to vatves,piping,wa{is,floors or the curb stop box and senrice line. In understand!am also requics
to abtain a permit prior to any work,i�necessary.
FIPiAL METER READING{old meterl ��O�� �
Name: c�'�l p�N1� 1��'���r►1 Address �b 1 1� 1 U�^1�� lJ�`�
Phone lYumber [ �' ���� � Dafie _���~ ��
��gn Witness Signature
OLD METER# �� + ���
OLD READING C�� � `o��
NEW METER# " � � (/ 1����. �
NEW READING�
ERT# � (i���`�2�v'
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(Re#Ord No 113,464,565,556,629,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sQwer line cannecting the existing municipal system and any house ar building for which the
application is made,the awner or contractor shail be required to obtain a permit for such mnaectia�,and shall pay a permit fee as provided in
Chapter 11 o�F this Code. After such connection has been made,the Water and Sewer Depastmerrt shall be notified. 1t shall be unlawful to cover
arry connecting line ur�til an inspection has been made and such cannection and the work incident thereto has been approved by the C"ity as a
proper and suitable connection.
d02.06 REPA{RS A9MD MAIN7ERIANCE TO CONP1ECTiON
After the initiai connection has been made to the water service curb stop box or the sewer iead at the property line or a water service lead has
been extended to the property line for�connection,the appticarrt,owner,or occupant or user of such premises shall be IIaWe for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. (f the prop�erty owner
requests maisitenance service or repairs be performed 6y the�ty,khe property owner shall be charged for tfie costs of the mairrtenance andjo�
repairs,including necessary street repairs at a rate set annualiy by an administrative po{iry. ft shail be the responsibitity of the appl�cant,
owner,occupant or user to perform standa�d mairrtenance of the sewer service tine from the premises to the main including debris deaMng o�
root cutting and to mairrtain the raater service curb stop box fvr operability and at such height as wiil ensure that it remains above the finished
grade af the tand or property. (Ref 638,2156,1191j