Meter Swap , Request Number: 13074
Public works Bivision
Service Request
Problem Address: 7520 Lakeside Rd Requested By: Winnie Mackey
Dep�rtmeut: WATIIt Address: No address provided
Probtem/Iasue: INSTALL AMR ME1ER Phone Nnmber: 763-784•7413
Scdednled Date: 2017-01-30 1 - 5chedaled Time: 10:00:�
' -�J�1 �� � �
ACIION NEEDED:You may ha�e to show her where tt�shut off�lve is located She is not sure.
Created by: Wendy Hiatt Date Cre�ed: 2017-01-25
ACIION TAi�N:
5 �-e �.- �- l�c
.�
. ...a.,.= ,. � .
... . � . . . � .
. . . . � ..���
. . . � . '�,_ . .
Sabmitter Has Been �
st�,�: �rro�ss co�c�cea r
D�te Completed: Completed by:
: � _ � ��
� �o � fT
�
Water�eparta�a�tent � .� , �
6431 Un6versity�lvena�e NE � �
Fridley, MN 55432
753-572-3566 ���+���3���
�
��We hereby authorize the C'iiy of Frxdley and/or its empioyees to s!o what is necessary to
re�lace#he water meter. 1 understand that�he property owner 9s liable for the water line#rom the main to the premise and all intsrior
plumbing. (Per Crty sode 402.06; i afso hold the C'oty crf Fridley andrfis employees harmiess#or eny damages that may occur while doing this
operation. This to include,but not lim'rted io aalves,piping,walis,floors or the curb stop box and service line. 1��nderstand 1 am also require�
to obtain a permit prior to any�roric,if aecessary.
FINAL METER READIAiG(uld meter) ������O
Name: �` � Address /�� l��Ev� ��, �
Phone Number � '� L�L!_l`� p� `,'�' (�V `r 1,�
Signature ✓�L —
Witness Signature
OLD METER#--I�f..� -1 US �
OLD READtNG_�� y / f���D
NEW MECER#�� W� (yP�
µ
NEW READIING
ERT#_ 1 � � �� (J�J�
FRIDLEY CITIf CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT101Y
(Ref Ord Alo 113,Q64,565,566,629,638,662,922,988,I144,1156,1191]
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 which the
application is made,the owner or com:ractor shall be required to o(rtain a permit for such connedion,and shall pay a permit fee as provided irr
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Departmerrt shail be notif'ied. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENpNCE TO CONNECTION � -
After the initia!connection has been made to the water service curb stop box or the sewer lead at the property line or a water serv�e ked'has
been extended#o fihe property line for connection,the appiicarrt,owner,or accuparrt or user of such premises shaii be tiable for ail repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. ff the property ewrrer `
requests mair�#enance senrice or repairs be performed by the C'rry,the property owner shatl be charged for the costs of ihe maimenar�ce and/or
repairs,induding necessary street repairs at a rate set annuaily by an administrattve poliry. it shati be the responsbii'rty of the applicant,
owner,occupan#or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root sutting and to maintain the water service curb stop box for operability and at such height as will ensure tfiat it remains above the finished
grade of#he land or property. (Ref 638,1156,1191)