Meter Swap � Request Number: 13216
Public Works Division
Service Request
Probiem Address: 1280 Norton A�e Requested By: Iea�ette
Depsu�tment: WATER Addre:ss: No adciress yded
Problemljssue: INSTAI,L AMR METER Phone Number: ?63-355-49 y
Sche�tded D�te: 201?-02-09 Schedeled Tlme: 10:30:00
, ��
AG'IION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-02-02
`AC'lION TAI�N:
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Stat�: In Progress Sabmitter Has Been �..,
Connacted
Date Completed:��--��--'� Completed by:
Hours V� �,�' `(�i
�llate�-�par��ent
5431 lOnlv�rsii��versue 9Y�
Frid�ey,M�1t 55432
0 763-572-3566 � I � —5 y ! / �L�-._ �^J
� � "�� her�by authorize#he�ity af Fcidley andJor its empioyees ta¢lo what is necessary ta
repface the water meter. 1 understand ti�at�he propea�ty swner�s 6iabte far the water line from the main to the premise and ail eMerior
pPurrrbing. (Per City toeie d�02.06j i a6so hold Lhe Ci��f Fcidley and/its emptoyees harmless for eny�Iamages that may occur rrhle doing this
operation. 'e'his to include,but no#limi#ed to valves,p9ping,wa8s,floors or the curb stop box and service line. In understand I am also requli
to obtain a permit pcsar to any rerorlc,�f�ecessaey.
�v �- '3 2��i
FBNAL MEi'ER READING(old meter) `� � 6 `� � O
Hame:� ���'/�� Address ��V� ���.�� �'r/ `e.
Phone Number K��`���^ �,Z G 7 p� ' ..— �j
Sigrtature Witness Signature . -
OLD METER#� r 1�����
OLD READiNG �-/ V���a
NEW METER# ���a �78��
NfW READfRIG �
ERT# _ L ( �I c/ � �,� �
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SAN{TARY R
ADMINISTRATION
(Ref Ord No 113,464,565,566,523,638,662,922,9$S,I144,1 6,1T91)
402.5 PERMIT FEE
Prior to con5tructing oc sepair of any water vF sewer Pne connetting Che existing rrtuniapai system and arry bouse oc butidtr�for+rhich the
appi4cation is made,the owner or corrtracto�sha(t be sequired to obtain a permit for such connectioa,and a!1 pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been rnade,the Water and Sewer Department st�aN be �tified. t#shaU be untawfu!to covE
any connecting line uati!an ir�spection has been made and such connectiart and#he work inciderrt thereto been approved by the City as a
proper and suitabie connection.
402.06 REPAlRS AND 111tA{PlTENE1INCE TD CONNEC770N
After the initia!connection has been made to the water servic¢curb stop foox or the sewer lead at the pro rty line or�a water senria iead has
been extended to the property fine for conoection,the appticarrt,ow�er,or accuparrt or aser of such prem' s shaU be liabie for all repairs
required to any water tine and sewer tsnes s�ecessary for conneciion of the premises from the main to the pr misEs. {f the property pymer
requests mairrtenance ser+rice or repairs be perFarmed by the City,the proper#y rnvner shall be charged for t e costs of the maintenance and/rn
repairs,including�ecessary street repairs at a rate set annually by an administrative po{iry. It shaN be the porrsbility of the applicarrt,
awner,occuparn or user to perfiornn standard mair�tenance af the sewer service line from the premise�s to th main induding debris dearing or
root cutting and to mairrtain the water service curb stop boK for operability and at such height as arlii ensure hat it remains above the flnished
grade of#he land or property. (Ref 638,1156,1191)