Meter Swap Y Request Number: 13046
Public Works Division
Service Request
Problem Address: 1517 N Timber Ridge Requested By: Joseph Peterson
Department: - WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 163-780-9093
Sc6ednled Date: 2017-02-25 5chedWed Time: 11:30:00
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AC'I'iON NEEDED:
Gyrexted by: Wet�y Hiatt DaEe Created: 2017-01-24
ACIION TAI�N:
�' ' V'�W�V�l�1� �
Stxtns: In Progress Snbmitter H�s Been r,
Coatacted
DAte Completed: Completed by:
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2 -ZS - 1`� °`�
�,�r or rnaoey
Water�epartrnent
6431 t3niversity klvenue PiE
Fridfey, MN 55�32
753-572-3555
�1"Ve hereby authorize the�ity of Frirlley and/or its empioyees to do what is�ecessary to
replace#he water meter. 1 understand that the property owner is liable for the water line from the main to the premise and alf irrterior
pfumbing. (Per�ty sosle 402.06) i also hold the City of Pridley and/its empioyees fiarrt+less fior any slamages tfiat may occur whife doing this
operation. This#o inciude,bufi not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
/''� 3ia - ��� �'70 - � fi
FINAL ME7ER READING(otd meter) �� e✓ � � r v ./v � ��-��
Name• Y� dress �
T� '
Phone Number� �~��" 1v /3 p� ��/� �
Signature WYness Signature
OLD METER# L� �� � ��
OLD READtNG �` V �1, �r 4�
NEW METER#�� ►'v���
NfW READfNG_�
ERT# � Y�������
FRIDLEY CI7'Y CODE
CHAPTER 402.WATER,STORM WATER AND SAN{TARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer fine conneding the existing municipal system and arty house or building for which the
appiication is made,the awner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Wate�and Searer Departmeet sE+aN be notified. It shali be uniawful to c�ver
any connecting line until an inspection has 6een made a�d such connection and tfie work inadent thereto has been apqroved by the City as a
proper and suita6te connection.
402.06 REPAIRS ARIp MAHYTENRNCE TO CONNECTI�N
After the initial connecfion has been made to the water service curb stop box or the sewer lead at the property iine or a water service lead has
been extended to the property line for connection,the appiicant,owner,or accupant or user of such premises shatl be liable for afl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shap be charged for fihe cos#s of the maintenancse and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It sha(I be the responsibility of the appticarrt,
owner,occupant or user to perFarm standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box foc operability and at such fieight as wiii ensure that it remains above the flnished
grade af#he land or property. (Ref 638,1156,1191)