Meter Swap � ' Request Number: 15860
Public Works�ivision
Service Reqt�est -
_ _..___ ---.___ _______ ._-----,-
:�;�°
Problem Address: 590 Hugo St ^ � � ite "ted By: �Debra Strand
Departme�: WA'lEtt �e sa: No a�ress provided
ProMem/lssue: INS'TALL AMR MET�lt '"'*Phone Number: 763-784-4813
ScheduledDate: 2017-07-07 � Scheduled'11me. 01:00:00
, � ..� �
AC'IION NEEDED:
Created by: Beth Kondrick Dnte CreAted: 2017-06-07
ACTiON TA[�N:
(rts�a.G(cd r�e�u�1 1�N�t2
Status: In Progress Snbmitter Haa Been r
Coutacted
DateCompleted: �/'j/�"� Completedby: ��Q� ^����,�\�
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�dty m��raa�e„ S � � 7"1��
� UVater De�sa�ment
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6431 Universi�Avenue NE
ft�d6ey.MN 55432
7�3-572-3556
I/we _ '�/�lJ� v�,�, D herehy aut6orize the City of Fridley and/or its employees to do what is necessary to
replace the water meter, t understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per�Lityr cade 402.05j f aiso hold the City of Fridtey and�ts emptoyees harmiess for arry damages that snay�cur yrhiie doing this
operatiom. This to include,but not limited to valves,pipin�walis,floors or the curb stop box and service line. In understand t am aiso requir�
to abtain a permit prior#o any work,if necessary.
FINAL METER READ{NG(oid meter)_ ��� � Q p�,.�
Name: Addreu ,�7_�I� �� S�-
Phone lYumber p��
Signature Witness Signature
OLD METER# �4 O�q �p
t�LD READING I OO I°�� , _ __-- __
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N�,�,��,-ER# IIIII
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NI
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NEW READINCi '"----, � - _
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FRIDLEY CITY CODE
CHAPTER 402.WATER,ST�RM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191y
402.5 PERN{IT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipai system and arry house or building for which the
application is made,the owner or rnntractar sha(i be required to obtain a permit for such connection,and shall pay a perm(t fee as provided in
Chapter 11 af this�ode. After such connection has been made,the Water and Sewer Departmerrt shail be notified. It shall be unlawfut to caver
any conaecting line urrtil an inspectaort has been made and such connection and the work incident thereto has been approved by the City as a
�roper and suitabfe connection.
4Q2.06 REPAIRS AND MAINTENANCE TO COPlNECT{ON
After the initiat cannection has been made to th�water service curb stop bex or the sewer iead at the properly Qne or a arater service tead has
been extended to the properLy line for connection,the applicarrt,owner,or occupant o�user of such premises shal{be{iabfe for atl repairs
required to any water line and sewer lines necessary for connectiort af the premises from the main to the premises, tF the�roperty owner
requests maintenance service or repairs be pecformed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaity by an admi�istrat�ve poliry. !t shall be the responsibility of#he applica►1t,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main includ+n�debris dearing or
root cutting and to mairrtain the water service curb sEop box for operebility and at such height as wiN ensure that it remair�s above the finished
grarie afi the tand or property. (Ref 638,1156,1191)