Meter Swap ,
� Request Number: 13087
Public Works Division
Service Request
Problem Address: 1401 Meadowmoor Dr Requested By: James Christenson .
Depurtment: WATER Address: No address provided �
Problem/Issnec INSTALL AMR ME1ER Phoee Nnmber: 612-787-7023
Schednled e: 201'7-01-31 Sc6ednled Tlme: 07:00:00
�l�S � !�l �S� �/�
ACIION NEEDED:
Crented by: Wendy Hiatt Dnte Crented: 2017-01-26
ACTION TAI�N: ;
_. �`_"-!"�-��=" � _._._ �L____�`�"_..___���....�..._._.. ���
Status: In Pro�ess SHbmitter Has Been �,
Con#acted
Date Completed: ( r- 3 , —``� Completed by: , 1 ak,e
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41/ate��epartrnent (" � '� � � �
6431 University Avenue P1E �
FridlQy, MN �5432
� 763-572-3565 � ( �_�f'(���� ���
� ��We hereby authorize the City of F�idley andJor its empioyees to do what is necessary to
replace the wafier meter. I understand that the property owner 6s lia6le for the water line from the main to the premise and all interior
piumbing. (Per City cocie 402.06) i aiso hold the City of Fridley and/its employees harmless#or eny damages that may occur while doing this
operation. This to inciude,but not lim�#ed to valves,piping,walis,floors or the curb stop box ancl service line. In understand!am also require�
to obtain a permifi prior to any�rorlc,if necessary.
FlNAL METER READING(olct meter) � � � ( � v`�'
riame•�p��""`�%g ��`$�'�Y`�ts� Address �- l.0 � �`E'c��W M^-t�cl-�' �✓�.
��Phone Number ��Z' 7�� - 7U�.-� p� �" �1"" ��
Signature IMrtness Signature ~
OLD MEf�R# ���� l. l �
OLD READt111G �� �� �gG
MEW METER# � �� v / J S � ,(,l
NEW READING �
/� C� N � .
ERT# � ' � L-� � � 1 �
FRiDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,6Z9,63$,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 any house or build[r�g for which the
application is made,the owner or corrq actor shatl be required to obtain a permit for sucfi connection,and sfiaN pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmertt shall be notified. it shail be uniawrful to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTENANCE TO COIMNECTION
After fhe initiat connection has been made to the water senrice curb stop box or the�.wrer lead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user af such premises sha(i be iiabie for ell repairs
required to any water line and sewer lines necessary#ar connection of the premises frvm the main to tfie premues. tf the property ourner
requests maintenance service or repairs be performed by the C"rty,the properCy owner shail be charged for the costs of#�e mairrtenance and/or
repairs,inciuding�ecessary street repairs at a rate set annually by an admi�istrative poliry. It shati be the responsbiPrty of the applicarrt,
owner,occuparrt or user to perform standard mairnenance of the seMrer senrice line from the premises tv the main incfuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the flnished
grade of the land or property. �Ref 638,1156,1191J