Meter Swap � �� Request Number: 13365
Public Works Division
Service Request
Problem Addresa: 151 S N Timber Ridge Requested By: Jeff
Dep�rtment: WATER Addreaa: No ad�ess provided
Problem/Iss�: INSTALL AMK METER Phone Number: 612-735-0121
Scheduled Date: 2017-02-13 Sched'led 1lme: 10:30:00
m -� � c�,
ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-02-48
ACIION TAI�N:
I �.5���-e,d P�1,`��.�
Stx�: In Progress Sabmitter H�Been r,
Contaeted ,
Dnte Completed: Completed by:
- � - � ` �o�-
2 � � �
....+..... +vstrcre�oaa�c��e
5431 l6nflv�r'sityr a4ver+�tae 6V� � - �r���y'
Fridteya N1N 554�2
.f�
�s3-��z-3s6� 3 i � — S� (��S'c�� -��=�.
� �/�°Q herehy authorize the City of Fridley and/or its empioyees to clo what ds aecessary to
a�eplace#he water meter. !vncJerstand tt�a#the property owner 3s liabie fo:the water line from the main to the premise and all interior
plumbing. (Per Crty code 4�2.06j i a(so�told the City of Fridley and/'rts employees harmiess for arry�Jamages tfeat may occur while doing this
operation. This to 9nclude,bu#not Bim'rted io valves,piping,walls,floors or the curb stop boz and service line. !n understand 1 am also requir
to abtain a permrt prior to any rrar4c,'sf necessaey-
FINAL METER READtNG(a!d meter} �� �"� �'�
Name: �\��� Address �� IrV1�Y � �
Phone Kumbes�-���—���O�i1 Date_�� ����
Signature ��� Witness Signattsre
OLD METER#_����VU ��
OLD READtNG��O� ���
NEW METER# 6����� �
NEW READI�VG D �
ERT#� � (� ` ` 1�
FRIDLEY C1TY CODE
CH�IPTER 402.WATER,STORM WATER AND SAIYiTARY SEIAJER
ADMt9Y1STRATION
(Ref Ord No 11.3,464,565,566,629,63$,662,922,9$8,i144,1i56,1191j
4U2S PERMiT FEE
Prior to constructing or repair of any water of sewer tirte cons�eectjjng the existing municipal system and arty house or buildirig for which the
application is made,the owner or corrtractor sha!(be required to obtain a permit for such�nnection,artd sha{i pay a permit fee as provided in•
Chapter 11 of this Code. After such connection has beero made,fihe Water and Sewer Departmerrt sha0 be notified. It shalt be unlawfui to cove
arsy zonnecting line until an irrspection has 6een made a�d such connection and the work inaderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAlRS AfyD MAIiYTENqPICE TO COAfNECT10N
After Cf�e in�tiaf connection has been made to the water senrice curb stop box or the sewer lead at the property iine or a water sen�ice Ieacl has
been extended to the property line for connect3on,the appiicarrt,owner,or accupant or user af such premises sF�a1i be Ifable for all repairs
required#o any water line and sewer lines necessary for connedian of the premises from the mai�to the prerri�ses. tf the property orrner
requests mairnenance service or repairs be perFormed by the C'tty,the property owner shall be charged for the costs af th�mairrtenance and/or
repairs,includiog necessary street repairs at a rate set annually by an administrative poliry. it shali be tbe responsihitity of the app{icarit,
owner,occuparn or user io perform standard mairrtenance of the sewer service line from the premises to the main induding debris deartng or
root tutting and to mair�tain the water service curb stop box for operability and at such height as wili ensure that it remair�s above the$nished
grade of#he land or property. (Re�f 638,1156,1191)