Meter Swap � Request Number: 15983
4
Pl1W1C w01'kS D1VIS1011
Service Request
Problem Address: 340�ronton St Requested By: Matthew
Departme�: WA1ER Address: No address p�ovided
Problem/Issue: INSTAL,L AMR METER Phone Number: 612-369-05�0
Scheduled Date: 2017-06-19 Sc6ednled Ttme: 02:00:00
�
ACTION 1VEEDED:
Created by: Wendy Hiatt Date Created: 201?-06-14
AC'IyON TAI�N:
Status: In Progress Submitter Hps Been �.,
Contaeted
Date Completed: Completed by:
City o#�raclley
Wa�er Departrva�ent
` �431 t�rsiversilty Avencee NE /
. F�adOey,MN 55432 2 � 9 � ��/ 3 g� '� �2
7C3-572-3566 �� C��
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a�`Ne�G( ��� hereby authorize the City of Fridtey and/or its empioyees to do what is necessa to
ry
replace the water meter. 1 understand that the�roperty owner is iiable for the water line from#he main to the premise and ali iMerior
plurnbing. (Per City code�OZA6) 1 also hoid the City of Fridley andrts employees harm{ess for any damages that may ocar while doing this
operation. This to include,but not limited to va(ves,piping,walls,floors or the curb stop box and service line. !n understand!em also requirE
to abtain a permifi prior to arry worlc,Ff necessary.
FINA!METER READNlfG(otd meterj ��� J 0��
Plame: �Lt l C� '�u7�C.�'VI�_ Address_ ��I� -�—��8✓� �'�'- N G
Phone lYumber�n(7 " -�D�'("��� p�, �d�q �
Signature Witness Signature _--
OLD METER# ��a i a �q�
�LD READING C��(O��p�
I�tEW METER# `l�{�E9��D�
NEW READfNG �
El�T#_��.��'� � �� �; �
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FR(DLEY CITY CODE
CHAPTER 402.WATER,STORNI WATER AND SANITARY SEWER
ADMINISTRATION
(Itef OrsJ No 113,464,565,566,629,638,662,922,988,1144,1156,I191j
402.5 PERMIT FEE
P�ior to construtting or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the aw�er or con�tractor shatl be required to abtain a permit far such connection,and sha{i pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be unlawful to cover
any connecting line untif an inspection has been made and sucb connection and the work incident thereto has been approved by the Gty as a
groper and suitable connection.
402A6 REP+41R5 AIYD MAINTENANCE TO COPiNECT10N
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 sen�ic:e tead has
been axtended to the property line for r,onnection,the app(icar�t,owner,or occupar�t or user of wch premises shall R�liable for ali repairs
required to any water line and sewer lines necessary#or conneetion af 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 shail be charged for the costs of the maim�enance and/or
repairs,including�ecessary street repairs at a rate set annuaily bg an administrative poliry. It shaU be the responsibility of the applicant,
owner,occupant or user Yo perform standard mairrtenance of the sewer senrice line from the premises to the main including debrts clearing or
root cutting and to mairitain the water service curb stop box for operability and at such height as wiii ensure that it remains abo�e the finished
grade af the land or property. (Ref 638,1155,1191J