Meter Swap � Request Number: 12756
� , Public Works Division
Service Request
Problem Address: 7355 Hayes St Requested By: Jim Heinrich
Department: . WA7ER Addresa: No�d�ess provided
Problem/Issne: INSTALL t1NIIt METER PLone Number: 763-784•30��
ScLe ed e: 201?-01- 2 � Sc6edr1edllme: 01:00:00
� f
AC7ION NEEDED:
Created by: Wendy Hiatt Date Crested: 2017-01-0�
ACIIUN TAI�N•
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_..__.__.�___._.�.._____.._. M �
��: ���� Sebmitter Haa B�en C,
Coatacte+d
Drte Completed• Cempleted by:
1 � IZ- I�'
N.
��iy or rrsaoey
Water Department � � � (,�� I �
6431 ilniversitt/Avenue N� �
Fridley, M�t 55432 c� �S�F.�6�� -"U1
• 763-572-3566 � � ( �u
��e hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. !understand that the property owner is liable for the arater line#rom the main to the premise and ali interior
plumbing. {Per C'rty code 402.06) 1 also hold the C"�ty of Fridiey and/its empioyees harmless for any siamages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any worlc,if necessary.
�'� ` V ��C__.�.�
fINAL METER READING{old meter)
Name: `�-+L�� �Q.�Y��1l/� 1 Address /��� � lr^�i�'�J � -
Phone Number j�'+J '� f fi� "' v Date �� �L � y 1
Signature Witness Signature �-
OLD METER# 4 1 ��� 1��
O�LD READING �� 1 �.J � `�t/
IVEW METER# �' 4 �� v � �
NEW READING �
ERT# � �� �/ a�/ t I
FRIDLEY CITY CODE
CHAP7ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMfNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,i156,1191j
402.5 PERMI'T FEE
Prior to construct�ng or repair of any water of sewe�line cons�ecting the existing municipaf system and arry house or huilding for which the
application is made,the owner or contractor shall be required to obtain a permR for sucF�connection,and shali pay a p�rmit fee as provided in�
Chapter 1Z of this Code. After such connection has been made,the Water and Sewer Department shatl be notified. It shail be untawfu{to cover
any connecting line u�il an inspection has been made and such wnnection and the work inaderrt thereto has been appro�d by the City as a
proper and witable connection.
402.06 REPAiR5 AND MAINTENANCE TO CONNEC17�11
After the initial+cannection has been made to the water servtce curb stop box or the sewer tead aC the property iine or a water serviee lead has
been exCended to the property line for connection,the applicarrt,owner,or occupasrt or user af wch premises shall be fiable frn�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 orr�er
requesks maintenance service or repain be per-Formed by the C'ity,the property rnrner shal{be charged for the costs of the mairrtenarKe and/ar
repairs,inciuding aecessary street repairs at a rate set annuaily by an administrative pol'sry. It sMalt be the responsibility af the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the presnises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remairis above the flnished
grade of tfie tand or property. (Ref 638,1156,1191)