Meter Swap ' Request Number: 12993
Public works Division
Service Request
Problem Adddress: 1343 Hayes St Requested By: Kate-Renter
De�rtmdat: WATER ,�.ess: 7343 Hayes St
Fridley,MN 55432
Probiemlisa�: IlVSTALL AMR METER Phoae N�ber. 218-750-1044
Sche�uled Date: 2017-01- Scl�edrled Time: 09:00:00
---_J�'
ACIION NEEDED:
Created by: Beth Kondrick Dxte Cre�ed: 2017-01-20
ACTION T
���\-� �. '�
ti� -� �! C�
�
� �
Statua: In Pro ess �bmitter H�Been r
� Cont�cted
DAte Compieted: Compieted by:
�•_ 2 �j ^� ��
��, �--�e.
iNa�er�e�sartrnent �,_ .. ,"� `i % �
5437.Ua�iversitv,l�,ver+ue 4VE ��; c�t
Fridley,MN 55432 '3Q�.����-� G�""
7�3-5?2-3566
� �1'Ne hereby authorize#he City of'�ridley andJor Rs employees to do what is necessary to
rep{ace#he water meter. 1 understand that#he property owner is liabie for the water line from the main ta the gremise and all interior
p{umbing. (Per City code 402.06j i aiso hold the City of Fridley and/ifis emptoyees harmiess for any damages that may occur while doing this
oper�tion. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit prior ta any�roric,if necessary.
FUVAL IklETER DING(ofd meter4 � � � ��
Name• Address � ��� '�-� J
Phone Number� ���O ��o�i� Date ' � li l 1
Signature -- W�tness S' nature `�y
�
OLD METER#__I � � � �� � �
OLD READING � � S� �
IwEW METER# _���� �JJ� - 6
NEW READING�
ERT# tl/ �EJ� V��
FRIDLEY CIIY CODE
CHAPTER 402.WATER,STORM WA'TER AND SANfTARY SEWER
ADiWfflilSfRAT10N
(Ref Ord No 113,464,565,566,fi29,638,662,922,9$$,1144,1156,1i91)
402.5 PERMIT FEE
Prior to rAnstructing or repair of any water oF sewer line connecting the eacisting municipal system anc(arty fiouse or buiiding for which the
appli+cafiion is made,the owner or oonfi�actor shati be required to obtain a permit for such connectian,and sball pay a permFt fee as
pmvided in�
Chapter 11 of this Cocfe. After such connection has been made,the Water and Sewer DepartmerK shaN be n�ed. it shall be untawfut to caver
any connecting fine ur�til an inspectivn has been made and such connection and the work inaderrt thereto has bee�approved try the Crty as a
proper and suitabie connection.
402.06 REP�1ifiS AND MAINTENANCE TO CONNHCTION
After the initiat conneccion has been made#o the rrater service curb stop box or#he sewer fead at the property line or a water�e�vicg lead has
been extended to the properCy line for connection,tite apptiprrt,owner,or accupant or user af such premises shall be I�at�e fa�a!I repairs
required to any water line and sewer lirtes necessary for connection of the premises from the main to the premises. tf the property ormer
requests mairrtenance service or repairs be pe�formed by the�ty,the property owner shall be charged fo�the cests of the mairrtenance andjor
repairs,including necessary street repairs at a rate set annua0y by an administra#ive poliry. It shaq be the responsbility of the appiicant,
owner,occupant or user to perform standard mai+�tenance of#he sewer service iine from tE�e premises to#he main including debris deartng or
root tutting and to mairrtain#he watec service curb sfiop box for operabii'rty and at sucfi heigfit as wiff ensure that it remai�ahove the flnished
grade of the land or property. (Ref fi38,1156,1191)