Meter Swap i
- Request Number: 15631
Pubhc works Division
Service Request
Problem Address: 7829 Pearson Way Requested By: Doug
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-607-1503�
Scheduled Date: 2017-06-42 Schednled 1'tme: 08:30:00
, ,�`d �`�rJ
ACTION NEEDED:
Created by: Wendy Hiatt Date Create�i: 2017-OS-30
AC'IION TAI�N:
.._......_r._�...���....I____�� � �._.
St�tus: In Pro�ess Sabmitter Hxs Been r
Coirtacted
Date Completed: Completed by:
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�
�ity o���idley /L ,ij � ��� ��O rVl/
, Wai�er Depa�#rraent '� �
� b431 lJniversity Averoue NE C�� (��5(F
Fr�dley,MN 55432 `� ���
763-572-3566
IJwe hereby authorize the�iiy ofi Fridtey andJor its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is 6iable for the water line from the enain to Lhe premise and ali irtterior
plumbing. (Per�ity code 402.06j 1 also hold the Gty oE Frid{ey and/its employees harmless for arry damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,wa{Is,floors or#he curb stop box and service line. In understand 1 am aiso requin
to obtain e permit prior to any work,if necessary.
FINA!METER READiPIG(cid meterj �� "����
Name: Address t� \
Phone 9Yumber ^' �� pa� � --�"'— �,�
�Signatu�� �tness Signature _ �/��� /�
OI.D METER# � � �� (��
OLD RfADtNG �� �����
NEW METER# �L� ����
NEW READING �
E�# �12-22-`121'�
FR(DLEY CITY CODE
CNAPTER 402.WA'�IER,STORM WAITER AND SANITARY SEWER
ADMINBSTRATfON �
(Ftef 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 line connecting the exssting municipaf system and arry house or buitding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as pro+rided in
Chapter 11 of this Code. After such connection has been made,the Water and Searer Department shalf be n�ed. it shalt be unlawful to cover
any connecting line urrti!an inspection has heen made and such cannection and the work incident thereto has been approved fry the Crty as a
proper and suitabie co�nection.
402.06 REPA(RS ANQ MAINTENANCE TO CONPIECT{ON
After the initial connection tias been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property tine for sonnection,the applicarrt,owner,or occuparit a�user of such premises shall be liable for all repairs
required to any water line and sewer{ines necessary for connection of the premises from the main to the premises. If the property owner
requests rriaintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/ur
repairs,including necessary street repairs at a rate set annually by an administrafive poiicy. It shali be the responsi6ility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain the raater service curb stop box for operabitity and at sucFi height as will ensure that it remains above tfie finished
grade af the iand or property. (Ref 638,1156,1191)