Meter Swap , Request Number: 15814
4
Public Works Division
Service Request
Problem Address: 677 Hugo St Requested By: Rebecca Olson
Departme�: WATER Aaddress: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-?86-3257
Schedaled Date: 2017-06-16 Schedaled'IIme: 11:00:00
T �'I`�C� - /1 � ✓�"
�
ACTION'NEEDED:
Created by: Beth Ko�rick Date Created: ZU 2 7-06-06
ACTION TAI�I�t:
1 �,��,II �t��
Status: In Progress Submitter Has Been �..
Co��cted
Date Compteted: Completed by:
�o - I �o- 1`7 � ��"
�
�,�,o���od�e�, � � �. �12�� —l�3
wager�e�a�trraen� �
t 6431 lJraiuersity Aorenue NE
i F�otetey,MN 55432 ���- / // ��
763-572-3566 `T�O
i/we hereby auChorize the City of Fridley and/or its emptoyees to do what is necessary to
rep9ace the water meter. 1 understand that the property mwner is liabie fo�the arater line from the enaire to the premise and aif irrkerior
plumbing. (Per�ity code 4Q2.D6) 1 atso hold the City of Fridley andjits employees harm{ess for any damages that may occur while doing this
operation. This to include,but not limited to va(ves,piping,walts,floars or the curb stop box and seroice line. ln understand 1 am aiso requirr
to abtain a permit prior to any work,if necessary.
FINA!METER READ[NG{oid meter) �J��v - {� `�
Name: �-/�� qdaress
Phone SYumber D�Z� �UV^ �Z�_ �j'� �'`'"`�
Date
Signature_ -��C.t�.s ir3.,J Witness Signature -�'�
OLD NtETER#_ 1��� U� ��
ULD REA�ING 4��� `{ ��
NEW NfETER# —6-1�� ��— `�
NEW READtNG \ )
.
E�# � t�►Z 1��1�
FRtDLEY C{TY CODE
CNAPTER�Q2.WA3ER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(lief Ord Nm 113,4�64,565,566,fi29,638,662,922,988,1144,1156,1191j
4�2.5 PERMIT FEE
Priar to constructing or repair of any water of sewer line cannecting the existing munic�ipal system arui arry house ar buiiding for which the
application is made,the owner or contractor shall ite required to obtain a permit fos suth connection,and shati pay a perm�i fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Searer Departmerit shalf be rtotitied. It shall be untawfui to cover
any connecting line urrtif an inspection has been enade and such connection and the work incident fihereto has been approved by the City as a
proper and suitable connection.
402A6 REPAtRS ARtD MAlNTEWAAICE TO COPIP1ECTi0AI
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 seroice(ead has
been extended to tfie property line for sonnection,the applicant,oavner,or occuparrt a�user of such premises sha4t be{iabie for aN repairs
required to any water line and sewer lines necessary for connecCion of the p�emises from the main ta the premises. ff the property owner
requests maintenance service or repaPrs be performed 6y the City,the property owner shali be charged for the costs of the mairrtenartce and/or
repairs,including necessary street repairs at a rate set a�aually by an administrative policy. it shaii be fihe responsbiPrty of the applicant,
owner,occupant or user to perform standard mairrtenanc�of the sewer service line ftom the premises to the main including debris dearing or
root cutting and to maintain the water seruice curb stap box for operability and at such height as will ensure that it remains above the finished
grade af the iand or property. {Ref 63g,11S5,1191j