Meter Swap . Request Number: 12969
V Public Works Division
Service Request
Problem Address: 7547 Lakeside Dr Requested By: Douglass
Departmcnt: WA'IER Addresa: 7547 Lakeside Dr
Fridley,MN 55432
Problem/Tssue: INSTALL AMR METER Phone Nnmber: 763-785-9799
Scheduled Date: 2017-01-26 Scheduled'I1me: 10:30:00
ar� � c3
ACTION NEEDED:
Crexted by: Beth Kondrick D�te Created: 2017-01-19
AGTION TAI�N:
���.�L� �-cr�
Status: In Progress Sebmitter Hns Been r
Contacted
Date Completed: � ~' �� �� Completed by: ���
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iAlate�-IDepartrnent
5431 Universityr Aver�ue N� � L � ' � � /
Fridleya M�V 554�2 ,�v fu��
753-572-3566 ��� �r 3�
��'"�'� hereby authorize the Ciiy af Fridley and/or its empioyees to clo what is necessary to
,replace the water meter. 1 understand that#he property owner�s liabie for the water line from the main to the premise and all interior
plumbing. (Per City socie 402.06) i also hold the C'tty�of Pridley and/'rts employees harmless#or any damages that may occur while doing this
operatian. This to'tnclude,but not lim+#ed to valves,piping,wafis,floors or the surb stoP box and service line. In understand!am aiso require�
to ubtain a permit prior to arry work,if necessary.
FNVAL METER READING{o1d meter) vc- l(/�� �D
Name: 1 JV�S �v`,��j Address �� � / �""�C S�.� �r•
Phone Number ��� p ' ��� Date , �,(e `�� �
Signature � -�
Witness Signature
OlD METER# l5� � `�
OLD READING �ld ��SO
MEW METER#�� I I ��� V
NEW READING �
ERT#�� �S �� � b
FR{DLEY C{Tf CODE
CHAPTER 402.WATER,STORM WATER AND S.ANITAttY SEWER
ADMINISTRATION
(Ref Ord Mo 113,4f4,565,566,629,638,662,922,9$8,i144,I156,1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for ar6�the
application is made,the owner or contractor sha(I be required to obtain a permit for such connection+and shali pay a permttfee as pravided in•
Chapter 11 of ihis Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. It shail be unlawful to cover
any connecting Gne urrtil an inspection has been made and such connection and the wor8c inciderrt thereto has been appro�ed by the City as a
proper and suitable connection.
402.06 REPAlRS AAID 9MAINTENA1110E TO CONNECTION
After the initial connecCion has been made to the water service curb stop 6ox or the sewer lead at tl�e property iine or a water service lead Itas
been extended to the property line for connection,the appiicarrt,owner,or accupant or user of such premises shati be liable for all repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. ff the property owner
requests mair�tenance service or repairs be perfocmed by the City,ihe property awner shail be charged for the costs of the maicrtenar�ce and/or
repairs,including necessary street repairs at a rate set annually by an administra#ive poliry. It shali be the responstbilily of the applicarrt,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main i�cluding debris dearing or
root tutting and to maintain the water service curb stop box for operability and at such height as wi0 ensure that tt remains above the finished
grade of#he land or property. (Ref 638,1156,1191)