Meter Swap ` Request Number: 16192
Public works Division
Service Reqnest
Problem Address: 350 Hugo St Requested By: Linda Harris
Department: WATER Addreas: No address provided
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-786-4976
Scheduled Date: 201 -07- 5 Schednled 1ime: 08:30:00
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ACIYON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-29
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ACTION TAI�N:
(�sralltrJ� me�i �N�1�
Status: In Progress Submitter Has Been r
Contacted
Date Compieted: -� /�l� Completed by: /� _f a� ��`N�
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, c�t�r��Fridsey � ,�� ,,,���, .
Wate�-Department G� �1 J�
6431 University Avenue NE
Frid{ey,MN 55432
763-572-3566
��`"�e hereby autho�i:e the Cityt of Fridiey andjor its employees to do what ts necessary ta
repiace the water meter. 1 understand that the property ow�er is liable for the water line from the main to the gremise a�d all interior
piumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harm{ess for arry damages that may occur whiie doing this
operation. This to include,but not limited to vabes,piping,walis,floors or the wrb stop boK and serv+ce tine. in understand 1 am afso required
to obtain a permit prior to any worh,if necessary.
FINAL METER READINf(old meter) _ 135 1�
Name• Address ��'J � � S�.
Phone Number p�
Signature Witness Signature
OLD METER# I 58�S ��J�I
OlD READING -T 35'i(pQ _ _ __-----------
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�IIIII��IIII I
III��I III�
NEW Mer��# ; 49355649
NEW'READING � - _ _ _ _ _ . _
�RT# {f Illlllllllllllifllll E
11 72418464
FRtDIEX CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION •
(Ref Ord No 113,464,565,566,629,638,662,422,988,1144,1156,1191)
402.5 PERMIT FEE
Priar to constructing or repair of arry water ofi sewer line connecting the existing municipal system and ar�y house or building fo�which the
apptication is made,the owner or coritractor shal(be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notffied. It shall be unlawfui to cover
any connecting line unti(aa inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS ANO MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or tfie sewer lead at the pruperty line or a water senrice tead has
been extended to the property tine for connection,the applicarrt,owner,or occupa+rt or user of such premises shait be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the property oarner shait be charged for the costs�E the maintenance andJor
repairs,inciuding�ecessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility aF the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main incfuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or properry. (Ref 638,1156,1191)