Meter Swap t.
• . Request Number: 15708 �
Public Works Division
Service Request
Problem Address: 451 Hugo St Requested By: Norman Schmitz
Department: WA'IER Addressc No address provi�d
ProMem/Issue: INSTALL AMIt METER Phone Number: 763-792-4295 �
0
o Schednled Date: 201'7-06-Ob 5chednled 1lme: 09:00:00
�T �S �"
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ACTTON NEEDED:
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Created by: Beth I�ondrick Date Created: 2017-06-01
AGTION TAI�N:
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• 6431 l�niversit�Avenue RIE
� Fr6dley,MN 55432 � ,� �5�
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to afo what is neressary Co
replace Lhe water meter. !understand that#he pro�oerty owner is liabte for the water line from the main to She premise and all irrterior
plumbing. (Per�Li#y code 402.06) 1 also hold the City of F�idley and/its employees harmless far arry damages that may occur while doing this
operation. This to indude,but not limited to valves,pipin�walis,floors or the curh sfiop 6oK and senrice line. In understand 1 am also rec{uir�
to obtain a permit prior to a�y work,if necessary.
FINAL METER READING{oid meter) � � �� C�V
Name: _ NC'�m[�Y�, �J(��f n I �'Z Address t � � �+
Phone lYumber ��3� � �Vd�' ��� Date ll� — UL` l
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Signature Witness Signature
OlD METER# _ U 7� ✓��
OLD READtNG
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NEW METER# � f �� � ���
NEW READING �
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fRIDLEY Ci'f'Y CODE
CEIAPTER 402.WATER,STORM WATER AND SANtTARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,�29,638,662,922,988,1144,1156,1191j
402.5 PERMI7 FEE
Prior to constructing or repair of any arater of sewer line connecting the existing municipal system and any house or fwitding for which the
application is made,the owner or corrtractor shaq be required to obtain a permit for such connection,and sha(i pay a perm�t fee as provided in
Chapter 11 of this Code. After such connection fias been made,the Water and Sewer Departmerrt shali be natified. It shall be unlawful to cover
any co�necting line urrtil an inspection has been made and such connedion and the work inciderrt fihereto has been approved by the Crty as a
proper and suitable connection.
4Q2.06 REPAIRS AND MAINTEA)ApICE TO COPiPIECTION
After the initiat connection has been made to the water service curb stop box or the sewer lead at the property line or a water service tead has
been extended to the property line for connection,the appticant,oarner,or occuparrt ar user of such premises shall be liabie for ali repairs
required to any water line and searer tines necessary for connection of the premises from the main to the premises. tf the.property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and(or
repairs,including necessary stree#repairs at a rate set annually by an administrafive policy. It shall be the responsibility of the appiicant,
owner,occupant or user to perform staadard mairrtenance of the sewer senrice line from the premises to the main including debris dearing or
root cutCing and Xo maintain the water service curb stop box for operability and at such he9ght as will ensure that it remains above tht�finished
grade af the land or property. (Ref 638,1155,1191j
. .� n.,.�, __