Meter Swap ,
� Request Number: 15955 �
Public Works Division
Service Request
Problem Address: 696 Hugo St Requested By: John Riee
Department: WATER Address: No address p�ovided
Problemllssue: INSTALL AMR ME1ER Phone Number: ?63-202-3421
Scheduled Date: 2017-06-15 Scheduled 13me: 09:00:00
� S��'�` Q✓v�
ACTION NEEDED: �
Created by: Wendy Hiatt Date Created: 2017-06-13
ACTION TAi�N:
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______.____.._.........._......._.._..............._.__ r��._ ____._ .___ _.
Status: In Progress Sabmitter Hns Been r.
Contacted
Date Completed: ' Completed by:
�` ( J� l`1 ��wV
.
�'�,�����'e�r �0� � �/��� ���
Water Depaa�trvs�nt � ����
L �431 lJniversity Avenue NE � �
���'�Y,MIV 55432
7fi3-572-3556
d/we hereby authorize the Crty of Fridley and/or its employees to do what is necessary to
replace the+water meter. i understand that the Property ewner is liable for the water line from the main to the premise and afi iriterior
plumbing. (Per�ity code 402.06j 1 also 6old the City of Fridiey and/ets employees harmless for any damages that rnay occur while doing this
operation. This to indude,but not 4imited to valves,piping,walis,floors or the curb stop box and senrice line. In understand 1 am also requirE
to obtain a permit prior to arry work,if necessary.
FINAL MEI'ER READ{AlG(oid meterj 1 �� ��O
Name:��_�`^ '�-� Address � �
Phone 9Y / ��_���Date �` �U� ��
�
� Signatu e Wits�ess Signature
OLD METER#_,�� � ���"t
OLD READtNG - 1�� � v`"�V
NEW METER# _���� �� p �
NEW READ[NG D
E�� � 22��, � �a
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
l�1DMlNlSTRAT{ON
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
402.5 PERMtT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipat system and any house or buildir�g for which the
application is made,the owner or cantractor shall be required to obtain a permit for such connection,and shall pay a penmit fee as provided in
Chapter 11 of this Code. After wch connect�on has i�een made,the Water and Sewer Departmerrt shail be notified. Ifi shail be untawful to cover
any connetting line until an inspecfiion has been made and such connection and the worfc incideert thereto has been approved by the Crty as a
proper and suitable connection.
4AZ.06 REPAIRS AND MAINTENANCE TO COPINECTION
After the initiai connection has been made to the water service curb stop box or the sewer fead at the property line or a water service tead has
been extended to the property line for connecfiion,the applicarit,owner,or occuparrt or user of such premises shall be liable for all nepairs
required to any water line and sewer lines necessary for connection of the premises fmm the main to the premises. ff the property oatner
�equesfis maintenance service ar repairs be perPormed by the City,the property owner shatl be charged for the costs of the maintenance and/ar
repairs,incPuding necessary street repairs at a rate set annually bg an administrative po4iry. It sha!!be tfie responsibiliry af tfie applirant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding 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�property. {Ref 638,1156,1191}