Meter Swap • Request Number: 12903
Public works Division
Service Request
ProWem Address: 7495 Hayes St Requested By: Tina W
Departme�: WA'IER Address: No address provided
Problemflssue: IlVSTALL AMR METEIt Phone Nennber: 763-786-5946
Schednied Date: 2017-01-19 Sc6edeled'I]me: 07:30:00
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ACTION NEEDED:
Createdby: We�yHiatt DateCrented: 2U17-01-17
ACIION TAKEN:
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Status: In Progress Sabmitter Has Been r.,
Co�acted
Date Completed: Completed by:
Q. ��-�
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� �9 / 7
�oty or rr�aoey
Water Department ��'7.. ��C.f �� - ��
, 6431 University Avenue N�
Fridley,MN 55432 `j� ) �,
' 763-572-3566 S V :�1 � `��
��We hereby authorize the Ciiy vf Fridfey and/or its employees to do what is necessary to
replace the water meter. !understand that the property owner is{iable for the water line f�om the main to the premise and ali iMerior
plumbing. {Per City sode 402.06j 1 aisa hold the C"�ty of Fridley and/its employees harmless for any slamages that may occur whife doing this
operation. This to include,but not limited to valves,piping,wafls,fioors o�the curb stop box and service iine. In understand I am also required
to obtain a permit prior to any work,if netessary.
FiNAI 1uI�R READING(oid meter) v �✓ � � ��
Name• � 1 Address `1 �� � �
�. � _ �
Phone Num 3 7 5 D��.- �
Signature Witness Signature
OLD MIETER# �� � ����-1
Ol.D READtNG ���� !�
NEW METER#`� � '�8�-1 �
NEW READING�
ERT# _�� �� �����
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER ANO SANITARY SEWER
ADMINIS7RATION
(Ref Ord No 113,454,565,566,629,638,562,922,988,1]A4,1156,1191)
402.5 PERMIT fEE
Prior to constructing or repair of a,ny water of s�uer line connecting the exisfing municipal system and any house ar buildir�g fo�whicfi the
apptication is made,the owner or cor�tractor shaii be required to obtain a permit for such connectioa,and shall pay a permit fee as provided in
Cha}rter 11 of this Code. After such connection has been made,the Water and Sewer Department sfiall be notified. tt shail be untawful to cover
any connecting tine until an inspection has been made and such connection and the wor[c inciderrt thereto has been approved isy the City as a
proper and suitable wnnection.
402.06 REPi41R5 AND MAINTENANCE TO CONNECT10N
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 senrice lead has
bee�exte�ded to the property line for connection,the appficant,owner,or occupar+t or user aF wch premises shail be liable for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shaq be d►arged tor the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrative poliry. It shall be the responsibility vF the appli�srt,
owner,occuparit or user to perform standard mairitenance of the sewer service line from the premises to the maia inciuding debris dearing or
root cutfiing and to maintain the water service curb stup box for operabifity and at such height as will ensure Chat�t remair�s above the fl�ished
grade of the land or property. (Ref 638,1156,1191)