Meter Swap �, � Request Number: 15497
Pubhc works Division
Service Request
Problem Address: I 10 Hartman Circle Requested By: Carolyn Sampson
Department: WA'IER Address: No a�ddress provicled
Problem/Issue: INSTALI,AMR ME'IER Phone Nnmbcr: 612-964-7604
Scheduled Dnte: 2017-OS-26 Sched�led 13me: 11:00:00
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ACIION NEEDED:
Created by: We�y Hiatt Date Crested: 2017-OS-22
ACIION TAI�N:
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Status: In Pro s ���er Has Been r, �
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Dsite Co�pleted: Cj'_�� ��� Co�leted by: C��
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* Water Department J._
6431 University Auenue PlE / � ���
Fridley,MN 55432 S� �
763-572-3566
�jWe hereby authorize the City of Fcidley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabfe for the water tine from the main to the premise and all iMerior
plumbing. {Per C'rty code 402.06y I alw hoid the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand f am atso required
to obtain a permit prior to arry work,if necessary.
FiNAL METER READiWG(old meterJ �- t ✓ � "�� � �
Name:_�V`�. Sf.�vN.n`�l�er� Address �� ��r`� �
Phone Numbe �d� ' �� E `���_ 1 Date � � ��� ""� � �
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�gnature Witness Signature �
OLD METER# ���� � � �
d���� �� � ,�,
OLD READING 1� e„�
NEW METER# � ��� � q —! �
NEW READlNG �
ERT# G �, �� � � � �
FRtDLEY CITY CODE
CHAPTER 402.WATER,5TORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191j
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or buildtng for which the
appiTcation is made,the own¢r or contractor shaN be required to obtain a permit for such connecttotr,•a'nd sfia{i pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been rr�ade,the Water and Sewer Department shall be notified It shatl be unlawful to wver
any connecting line untif an inspection has been made and such connection and tfie wdrk incideM thereto has been approved bY the City as a
proper and suitable connection. _
402.06 REPAIRS AP(D MAIPfTEfYANCE TO CONAlECT10N
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service(ead has
been extended to tfie property line for connection,the applicarrt,owner,or ocwparrt or user of such premises shall be Itable for alt repairs
required to any water ll�e and sewer lines necessary for connection of the premises from the main to the premises. If the properly owner
requests maintenance service or repairs be performed by the City,the property owner shaii be charged for the costs of the mairtitenance and/or
repairs,i�cluding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user ta perForm standard maintenance of the sewer service line from the premises to the main includir�g debris dearing or
root cutting and to maintain the water service curb stap box for operability and at such height as wili ensure that it remair�s above the�nished
grade of the land or property. (Ref 638,1156,1191)