Meter Swap ,,
Request Number: 15064
Public Works Division
Service Request
Problem Address: 117 Hartman Circle Requested By: Mike
Department: WA1ER Address: No address�ovi�d
ProblemtIssue: INSTALL AMIi METER Phone Number: 612-669-5259
Schednled Date: 2 17-OS-06 �.,..�„ Scheduled Time: 07:30:Q0
� t 1
ACITON NEEDED:
Cre�ted by: Wendy Hiatt Ds�te Created: 2017-OS-01
ACTIQN TAKEN:
Status: In Progress Snbmitter H�Been r
Contncted
Date Completed: Completad by:
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City of Fridley � � �v��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authori:e the City of Frydley and/or its employees to do what is necessary to
replace the water meter. 1 unde�stand that the property owner is liable for the water line from the main to the premise and ali intet�ior
plumbing. �Per City code 402.06) t also hold the City of Fridley and/its employees harmless for a�y damages that may occur white doir�g this
aperation. This to include,but not limited to vaives,pipir�g,watls,floors or the curb stop box aod service line. In understand 1 am afso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(ald meterj ��� O
Name• V"`-'1,� Address ��1M.A.�ti `-Q�
PhoneNumber 1X+2� ��-1� 7 Z�j " 1 Date J+�P� ��
Signature Witness Signawre 1L./V
OLD METER# �� � � ��� �
OLD READING ` t �����
NEW METER#
NEW READING .48gOT134
ERT# IIIIfi IIIIIII IIII II III E
1 'I 71812667
FRiD1.EY CiTY CODE
CHAPTER 402.WATER,S70RM WATER AND SANITARY SEWER
ADMINISTRATION
�Ref Ord No 113,464,565,56b,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing o�repair of any water of sewer line connecting the existing municipal system and any fiouse or buiiding for wMich the
appiication is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided ia
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. R shall be unlawful to wver
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.
402.06 REPAIRS AN�MAINTENANCE TO CONNECTION
After the initiaf connection has been made to the water service curb stop box or the sewer lead at the property tine or a water service lead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shal)be liable for alf repairs
required to any water line and sewe�lines necessary for conneetton of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shaii be the responsibility af the applicar�t,
owner,�cupant or user to perForm standard maiMenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to mainiain the water service curb stop box for operabitity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)