Meter Swap � Request Number: 16222
Public Works Division
Service Request
Problem Address: 650 Hugo St Requested By: Roland Morin
Department: WATER Address: No address p�ovi�d
Problem/Isaue: INSTAI,L AMR METER Phone Number: 763-786-3935
SchedWed at 201 -07- 5 5chednled 1lme: 02:00:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-30
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ACIION TAI�N:
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Status: In Pro�ress Sabmitter Has Been r
Co�acted
Date Completed: Completed by:
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�, �ity o#Fridl2y
Water Department ��� ���
6431 U�iversity Avenue NE
Fridley,MN 55432
763-572-3566
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��`"�e hereby authorize the City of Frid(ey and/or its emptoyees ta do what is necessary to
re e w meter. i understand that the property owner is liable for Che watec line from the main to the premise and afi irrte�ior
piumbing. (Per C'rty code 40Z.06) 1 also hold the City of Fridtey andjits emp{oyees fiarmless for any damages that may occur whi(e doing this
operation. This to include,but not limited to valves,piping,wafis,fioars or the curb stop box and service line. In understand 1 am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READIMG(eld meter} L p�{��DO
Plame• Address�� �� �'{".
Phone IVumber p�
Signature Witness Signature
OLDMETER#_9Z(q78Zy
OLD READING Z.r�,�-{�O�oL�
NEW METER# � �� �--------- ���' � �
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49355654 �
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'1 1 72418369
� FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATfON
(Ref Ord No 113,464,565,566,629.638,662,922,988,1144,1155,1191}
402.5 PERMIT FEE
Arior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
appiicatian is made,the owner or contractar shall be required Co obxain a permit for such connection,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 shall be notified. It shali be uolawful to caver
any connecting{ine untii an inspection has been made and such connection and the work incideat thereto has been approved by tfie City as a
proper and suitable connection.
402.06 REPAIRS APID MAINTEMANCE TO CONAIEC170N
After the initiat connection has been made to the water service curb stop box or the sewer tead at the property line or a water service tead has
been extended to the property line for connection,the appiica�t,owner,or occuparrt or user of such premises shali be liable for all repairs
required to a�y water line and sewer lines necessary#or 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 properly owner shall be charged for the costs of the maintenante and/or
repairs,inctuding necessary street repairs at a rate set annually by an administrative policy. 4t shall be the responsibility of tfie applicarit,
owner,occupant or user to perForm standard maintenance of the sewer service{ine from the premises to the main inciuding debris clearing or
root cutting and to mairrtain the water service curb stop box for operabifity and at wch height as will ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191j