Meter Swap � '
� Request Number: 12855
Public Works Division
Service Request
Probtem Address: 1590 Onondaga St Req�nsted By: I)avid
Department: WA1ER Addresa: No address provided
ProMem/las�: INSTALL AMIL METER Pho�Nmnber: 763-3QQ-0419
5cheduled Date: 201?-01-17 Sc�edpled 1I�: 08:30:00
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ACIION NEEDED:
Cre�ed by; Wendy Hiatt Date Crested: 201'1-01-13
ACIION TAI�N:
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���: ���� Sabmitter Ha�Been C
Coutacted
Date Completed: Completed by: /J���`
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���or Fr�aoey /
Water Department � r 1 , f� � � /
6431 University Avenue NE U � `�
. � Fridley,MN 55432
� 763-57Z-3566 �j ��—S��S�(��'U�--
�1We hereby authorize the City of Fridtey and/vr its employees to do what is necessary to
replace ihe water meter. I understand that the property owner is tiable for the water line from the main to the premise and all irrteriar
plumbing. {Per City code 402.06} i also hofd the City of Fridley and/its employees harmless#or any damages that may occur while doing this
operation. This to include,but not Bimited to valves,piping,walis,flaoes or#he curb skop box and service line. In understand t am also required
to obtain a permit prior to any woric,if necessary.
FINAL METER READIAi6(ald meterj I 1 1 � ` �
Name: ��G�W+� Acfdress �� �
�
Phone Number �� �G�' p�{e '� �� � `�
��Sn� Witness Signature
OLD METER# ��� � /�j�
OLD READiNG ' � �� (J � V
NEW METER# ��� \ �%/��
NEW READIIVG V
ERT# �C�'`U� I 1� .,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipai system and any house or building for which the
appiication is made,the owner or coritractor shatl be required tv abtain a permit for such connection,and shall pay a permn fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be�otified. It sha41 be un4awful to cover
any connecting tine urrtil an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CUNNECTION
After the initial connectio�has been made ta the water seNice curb stop box or the sewer}ead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or acwpant or user of such premises shal{be tiabk for aN repairs
required to any water line and sewer lines necessary for connedian af the premises from the main to the prernises. If the property aaner
requests maintenance senrice or repairs be performed by the City,ihe property owner sha(1 be charged for the costs of the mairrtena�e and/or
repairs,including necessary street repairs at a rate set a�nuaily by an administrative policy. lt shaii be the responsbility of the applicarrt,
owner,occupant or user to perform standard mairitenance of the sewer service line from tF�e premises to fihe main iacluding debris dearing or
root cwtting and to mairrtain the water service curb stop box for ope�ahility and at sucM height as will e�ure tfiat it remairu above the finished
grade of the land or property. (Ref 638,1156,1191)