Meter Swap .
_ Request Number: 15218
Public Works Division
Service Request
Problem Address: 145 Hartman Circle Requested By: Richard Nor�trom
Department: WA1ER Address: No addreas provided
ProblemlIssue: INSTALL AMR ME1ER P�ne Number: ?63-843-?400
Schedaled Date: 2017-OS-12 Sc6ed�l ed'Rme: 11:3Q:00
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AiC'1ION NEIDED:
. Crested by: Wendy Hiatt Date Crertcd: 2017-OS-08
AC'ITON TAI�N:
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' City of Fridiey �D� l( Na''�
Water Department ��� �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the Crty af Fridley and/or its empfoyees to do what is neoessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and alt iMerior
plumbing. (Per City cale 40Z.06) I aiso hoid the City of Fridley a�d/its employees harmfess for any dam�es that may oaur whtle dotng this
operatton. This to inciude,but not limited to vahres,piping,walis,floors or the curb stop box and senrice line. M underztand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIAfG(old meter) � V " ���
�Y� � x � i��,/�� T1 T LF��. V` ,l.�i l�
" �� '. Name• �CZ-ti�/�lu.{`C�, ivD(�(l`���' Address_ � l.� .
Phone Number ���'� v-/� " � (.�D Date � � ��� � [
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Signature Witness Signature
OLD METER# v��� llG�
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OLD READING ���g ��a ��G��l C� '"'7 ��S k.l_"l�.�+ ��� "�"�
NEW METER# � i V`6���� ✓
NEW READING `�
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ERT# � �� �� LJ�
fRIDLEY CITY CODE
, CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE .
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such connecCion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shail be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.�6 REPAIRS AND MAfNTETiANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property tine or a water service lead has
been extended to the prope►ty line for connection,the applicant,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. If the property owner
requests maintenance service or repairs be performed by the C'rtyr,the property owner shali be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a�ate set annually by an administrative policy. It shail be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debrls clearing or
root cutting and to mair�tain the water service curb stop box for operability and at such height as will enwre that it remains above the finished
grade of tfie land or property. (Ref 638,1156,1191)