Meter Swap Request Number: 12980
Public Works Division
Service Request
7385 Hayes St Requested By: Roger Meissner
. WA1F.R Address: No address provided
____ Problem/Iseue: INSTALL AMR ME1ER Phone Number: 612-685-4897
Scheduled Date: 2017- 1-25 Sc�ednled 1lme: 08:00:0(i
, � �,�
ACIION NEEDED:
Created by: - Wendy Hiatt Data Crc�ted: 2017-Oi-20
ACIION TAI�N:
`��5�-�,�1� .
.
StAtna: In Progress Snbmitter Has Becn r
Cont�ted
Date Compteted: � -"�,'��"'��� Completedby: v, �r�
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1Nate��e�artrnent �� �_ O �/
fi431 t9niversity Avenue N� � � � � � ` 0 7
Frid{ey,MN 55432 �v ��� �
•�` 753-572-3566 �
• iJwe hereby authorize ihe City o#Frindley andJor its empioyees to do what is�ecessary to
replace#he water meter. 1 understand that the property owner�s liable for the water line from the main to the premise and all irrterior
plumbing. {Per City cade 402.06) i also hold the City vf Fridley and/ifis employees harmless#or any damages that may ocwr while doing this
operation. This to include,but not limited to vaives,pipi�g,waiis,flaors or the surb stop box and service line. In understand l am also require�
to obtain a peran"rt prior to arry woric,if necessary.
FIIVAL METER READING{old mefier) �� v a � �
Name:
�e�' �`v1. i w�e��- �d� '73 S� ��iz 5 ��—
Phune Numbe �i��-�`�U� " 'tUV` / Date �✓a5 �"" ��
Signature HRtness Signature
OLD METER# �`� �� I v'�p��
OLD READlNG �� ��� �
NEW METER#_�� 'l ��J 1
NEW READtNG d
ERT# � v� �� t �� .
FRIDLEY CITif CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair af any watev of sewec line connecting the existing muniapal system and arry house or bu�ldtng for which the
application is made,the owner or coma�actor shatl be required to obtain a perm�t for such connection,and shall pay a permi!fee as pravided irr
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmesrt shall be notified. it sha{I be unfawful to cover
arry connecting(ine urrtil an ir�spection has been made and such connection and the work inaderrt thereto has been approved by the CFty as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTEflIANCE TO CONNECTtON
After the initial connection has been made to the water service curi�sfop box or the sewer lead at tfie property iine or a water senrice Ieaci has
been extended#o the property line for connection,the appliprrt,owner,or accupant or user of such premises shaq be liab{e far all sepairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the Exoperty owner
requests mairrtenance service or repairs be perFormed by the City,the property owner shali be charged for#he costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative po�icy. It shali be the responsibility of the applicarit,
owner,occuparn or user to perform standard maic►tenance aE the sevrer service line from the premises to the main inctuding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such fieight as will ensure tfiat it remai�above the finished
grade of#he land or property. (Ref 638,1156,1191)