Meter Swap � Request Number: 13092
Public works Division
Service Request
Problem Address: 7574 Lakeside Rd Requested By: Co�ie Thompson
Departme�: WATER Address; No address provided
Problem/Issne: INSTALL AMR ME'IER Phone N�ber: 763-502-5162
Schednled Dste: 2017-01-31 5c�edaled 1ime: 08:30:00
ST--
ACIION NEEDED:
regted by: Wendy Hiatt Date Created: 2017-01-26
�ACIION TAI�N:
�"-�-3�.C�e� v�v�w Ce �
Status: In Progeess ���er Hns Been �..
Co��ted
Date Compieted: � �3�� �� Completed by: ` ���
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Wate��epartrt�ent
5431 lOnBversitlr Avenue NE � (� � �c�v U �J l
Fridfey, MN 55432
"' 753-572-3566 ��'z'� I � �
� !/�re here6y authorize the C'rty a#Fridiey and/or its empioyees to aio what is necessary to
replace#he water meter. I understand that#he groperky owner is liabie for the water line#rom the main to the premise and all interior
plumbing. {Per City code 402.06) i also hold the C'rty of Fridley and�ts empioyees harmless#or eny sJamages that may occur while doing this
operation. This to include,but not lim�ted to valves,piping,watis,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit prior to any work,if necessary.
FIAiAL METER READING(otd meter� �� I.O��
Name:CQ"�K�F �S a� Address � � � � ��$�CL' � .
Phone Number {�3� ���` 5� �� p� �" J�,'� ��
Signature Witness Signature �
OCD METER#_ 5/ � ��3� G �
OLD ItEADtl11G �� 6`'' ��
AIEW METER# "L� y� � ✓� I
NEW READtiVG v ,� l`fi"'
p� i •
ERT# � I � Z � � v �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAIYRARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to co�structing or repair of any water of sewer tine connecting the extsting muniapal system and arry house or buildir�for which the
app(ication is made,the owner or contractor sha(I be required to obtain a permit for wch connection,and shall pay a pertnii fee as provided in•
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. tt shail be unlawfui to covef
any connecting line until an inspection has been made and such connection and the wo�c inciderrt fihereto has[�een approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIPITEfYANCE TO CONNECTIQN
After the initial connection has been made to the water senrice arb stop box or the sewer lead at tfie property line or a water�nrice lead fws
been extended#o the property line for connection,the appiicarrt,owner,or occuparrt or user of such premises shaf{be{iabie for ail repairs
�equired to any water fine and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests mairrkenance seroice or repairs be performed by the Clty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shatl be ifie responsbii'rty of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from t6e premises to the main inciuding debris dearing or
raot cutting and to mair�tain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)