Meter Swap �
..,� Request Number: 12943
Public Works Division
Service Request
Problem Address: 1444 Mea�wmoor Dr Requested By: Mike Young
Depnrtment: WATER Address: 1444 Meadov�or Dr
Fridlcy,MN 55432
Problem/Isaue: INSTAI,L AMR METER Phone Namber: 612-703-6859
Schedaled Date: 2017-01-30 Schednled'Ilme: 01:00:00
ctti /
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ACIION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-01-18
ACTION TAI�N:
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Statua: 1n Progress Submitter Haa Been �,
Conts�ted
Dnte Completed: � —3 ��–�l� Compieted by: J 0.k,�
Hours
�tvatea-�epar�a�a�sen� �
�431 LO�adv�a�site�Aver+ue N� �� ��� � ��
Fritiley,N!j!i 55432
7�3-5�2-3566 � � �- — J�r��'vl
} �"1°� her�by authorize#he City�f Fridley andJor its erroptoyees to sto what is necessary to
replace the water rneter. 1 understand that the property owner�s Iiable for the water line�rom#he main to the premise and all interior
plurrabing. {P�r City code 402.06) i atso hold the�ty�f Fcidley and/its empioyees harmless for any slamages ifiat may occur while doing this
operation. This#o�nclude,but not limited 3o vaives,piping,walls,floors or the curb stap baz and seavece 1ine. In understand!am also requir
to obtain a perrnifi prior to any ruorlc,if aecessaey.
FBNAL METER READIfNG{old meter) � � "� Y �C � "
tuame: �l�.� � IJL��I �►ddre� ���� �v`�G�,� �Y'1 �_
Phone Rlumber � �Z� !�3 �' LyQ� ��l p� ���3(� -� ��
� Signature ��+�, Witness Si$nature �
o����R# � � � � 2� �Z
OLD READtlIIG ��V+' �� �U
�iEW METER#�-��U � 3� �
NEW READING �
1 U o � .
�RT� �] � 2 3 q �..�'
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FRIDLEY�C1TY CODE
CHAPTER 402.WqTER,STORM WATER AND SANITARY SEIA/ER
ADMINISTRATION
(Ref Ord Pio 113,464,565,566,629,638,662,922,988,I144,IISfi,1191j
402.5 PERMtT FEE
Prior to constructirig or repair of any water of sewer line connecting the existing muniapal system and arry house or buildir�for which the
appiicafiion is made,fihe owner ar tontractor shall be required to abtairt a permit for sucfi connection,and sha(1 pay a permit fee as prov�ded�rr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shail be untawfui to cove
arry connecting line untii an ir�spection has 6een made and such connec#ion and the worlc inciderrt thereto has been approved by the Gty as a
proper and witabk coRnection.
402.06 REPAiRS qR{D MAIPITENA{VCE TO COtYNECTiON
After the initiat conneci3on has been made to the water service curb stop box or the searer lead at the property line or a water senrice lead Nas
been extended to fihe property line for connection,the appiicarrt,otvner,or accupant or user of such premises sFialt be liabie for�il repairs
required to any water tine and sewer lines necessary for connection of the premises from Che main to the premises. If the property owner
requests ma�rrtenance senrice or repairs be perFormed by the City,the property owner shall be charged for#he costs af the mairttenance andJor
repairs.including necessary street repairs at a rate set annuaily by an administrati�e policy. It shatl be the nesponsibili#y of the appiicarrt,
owner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main including dehr�clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains aboae the finished
grade of#he land or property. (Ref 638,1156,1191j