Meter Swap � Request Number: 16014
Public works Division
Service Request
Problem Address: 7852 Firvwod Way Requested By: Jerald Robb
Department: WATER Address: No address�ovi�d
Problem/Issue: INSTAI,L AMR METER Phone Number: 571-7342
Schedule�Date: 2017-06- 0 � Schednled 1lme: I0:00:00
� I �
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-15
ACTION TAI�N:
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Status: In Progress Sabmitter I�as Been r
Coutacted
Date Completed: Completed by:
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�i�y of�r6et(ey 3�7� ��� Z �� ��`
W��er De�aa-te�aer��
' 6431 l�niversi#y Avenue NE �� �7� (�
• Fr6ctiey,MN 55432 �
7fi3-572-3565
+r'Ne hereby authorize the City of Fridley and/or its employees to do what is necessary ta
replace tfie water meter. 1 understand that the�ro�oerty awner is liable for the water line from the maice to tfie premise and afl iMer�or
p{umbing. (Per�ty cade�02.06j 0 also hoid the Cifi{/of Fredtey and/Fts employees harmPess for any damages that mag ocair wh7e doing this
operation. This to include,[aut not Iimited to vatves,piping,walls,flaors or the curb stop box and service line. In understand t am also require
to otrtain a pernzst prior to arry woric,if aecessary.
FfNA!METER READItYG(otd meterj ! ��3 ��
Name: � ��� Address-- �t�`� � �Y"�(�1��1 v V�
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Phone�1um 4 p� ���'^ �
�ignature� r
_., Witness Signaturc
o�.n nn��R# ���� l �� �
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OLD READING � � � � ��
tYEW MfTfR#__�G"1 t��1G c� �
PIEW READfNG V
ERT# ���J J �
FRtDLEY CITY CODE
CHAPT'ER 402.WATER,STORMI WATER AND SANITARY SEWER
ADMINIStRAT10N
(itef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
�02.5 PERMIT FEE
Prior to+constructing o�repair of any water of sewer iine connecting#he exisdng municipal system and arry house or buiiding for which the
appfication is made,the oarner or corrtractor shail be required to abtain a permit for suc(t connectien,and sha{I pay a permi�fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shafl be notified. R shall be untawFui to cover
anY connecting line urrCif an inspectian has been made and such conrtection and tf+e wor&inciderrt thereto has been appwved 6y the City as a
proper and suitable connection.
�02.06 REPAIRS AtYD�IIAIAITENAPICE TO COPINECTION
After the initiai connection has been made to#he water service cur6 stop box or the sewer tead at the prop¢rty line or a water service(ead has
been extended to the property line for sonnection,the applicarrt,owner,or occuparrt ar user of such premises shail be IiaWe for atl repairs
required to any water[ine and sewer lines necessary for connection of the premises from the main to the premises. tf the property oarner
requesCs maintenance service or repairs be perfarmed by the Crty,the property owner shaf{be charged for the c�ts of the rnaintenance andjor
repairs,inctuding necessary street repa+rs at a rate seet annually by an administrative policy. !t shall be the responsibi{ity of tfie appiiprtt,
owner,occupant or user to perform standard maiirtenance of the sewer service iine from the premises to the main induding rlebris dearing or
root cutting and to masntain fihe water service curb stap box far operebility and at such height as wi(1 ensure tfiat it remains above the finished
grade af the land or property. (Ref 638,1156,1191J