Meter Swap ,, Request Number: 12867
ry Public Works Division
Service Request
Problem Addresa: 1381 Onondaga St Requeated By: John LaBroche
Dep�rtme�: WATER A�ddreu: No a�ddress provided
Problem/7ssue: INSTALL AMIt METER Phone Namber: 786-4133
Schednled Date: 2017-01-19 � Sc6edule�'Ii�e: 11:30:00
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AC,'1ION NEEDED:
Created by: We�y Hiatt Date Cre�ed: 2017-01-13
.�C1ION TAI�N:
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St�: In Progress Sabmittcr Ha�Beea �
Ceatatted
DAte Co�leted: �`� � -- `� Compieted by: ����
Honrs
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�o�or rriaaey
Water Department
6431 Universit�/Avenue PIE
' Frid{ey,MN 55432 �3 1 3 � S )`'�� /�`
� 753-572-3566 ���(,�(,�
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, ��We hereby authorize the City of Fr+dtey and/or+ts employees to do what is necessary to
replace the water meter. i understand that�he property owner is liabie for the water line from the main to the premise and all i�rterior
plumbing. (Per Gty code 4A2.06) i also hold the City of Fridfey andJits emptoyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand 1 am also�equired
to obtain a permit prior to any wo�ic,if necessary.
FIfYAL METER READING(oid meter) � 4� ��v�
Name: �0�h ��.D��.-�— Address_ �� `�l ��t(�(i�� �7' .
Phone Number ! �� "�� � ✓ ,/ p� I� l L� ��
Signature 4Y'rtness Signature
o�n nnFrER��5� ���� ��
OLD READtNG ���� �v
NEW METER#_�� � 1 �� � I
NEW READING �
ERT# � ��� � / � �
FRlDLEY CITY CODE
CHAP�'ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Orci 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 line connecting the existing municipai system and acry house or bu�ldtng for which the
application is made,the owaer or corrtractor 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 Water and Sewer Qepartmerrt sha11 be natified. it shall be untawful to cover
any connecting line until an inspection has been made and such connection and the woric inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS A1YD MAIN'TENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer fead at the property line o�a water service lead has
been extended to the property line for connection,the appiiprrt,owner,or occuparrt or user af such premises shali be lial�e for aii repairs
required to any water line and sewer I'snes necessary fvr cannection of the premises from the main to the prem'�ses. tf the property owner
requests maintenance service or repairs be perforrned by the City,the properly owner shail be charged for the costs of the mairttenance and(or
repairs,inctuding necessary street repairs at a rate set annually by an administrative poliry. k shali be the responsibility af the applicant,
owner,occupant or user to perform standard maintenance of the sewer secvice tine from the premises to the main inctudir�debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191}