Meter Swap , Request Number: 12977
Public Works Division
Service Request
Problem Addreas: 7351 Pinetree Ln Requested By: Stev�e Pachoii
Departme�tt: WA1ER Address: 7351 Pi�tree Ln '
Fridiey,MN 5543Z
Problem/Jsaue: INSTAL,L AMR ME'IER Phone Nember: 763-786-0769
Sc�eduledllat�_ 2017-01- c -� Scl�d�ated'Ii�e: 08:30:00
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ACTTON NEEDED:I�talt AMR
Crentcd by: �th Korxkick Date Cre�ed: 2017-01-20
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Status: Tn Progress Submitter H�s Been �.,
Co�tacted
Date Completed: � ^a�.�'�] Completed by: ��(� � ,
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Water�e�aarfrneeat � \; `� r� �
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Fridley,MN 55432 � ��_���
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�,we hereby authorize the C'rty ofi Fridley and/or its empioyees to do what is necessary to
replace the water rneter. !understand that the property owner u liable for the water line from the main to the premise and all interior
plumbing. (Per City sode 402.06j i atso hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
oper�tion. This#o include,but not limrted to valves,piping,walls,floors or the curb sko�box and service line. In understand l am alsa require�
to obtain a permit prior to any wor�c,if necessary.
FINAI.METER READING(oid meter) ��/r� ��
1Name: .1��•�`e- �, ' �' Address �;''' , o'UG1n�' Y �� �-�'l
Phone Number��G���(i�11�`�'���� p� �`r�,E'�:`"'�/�
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Signatare Wftness Signature
OLD METfR# ���� ����j
OLD READtNG_ L 'J� ��Q
NEW METER#_�� I � � I O(�
NEW READtNG �
ERT# 15�� "V �U3V
FR{DCEY CITf Ct)DE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN ISTRA'1'1!ON
(Ref Ord No 113,4fi4,565,566,629,638,662,922,9$8,1144,II56,i191)
402.5 PERMIT FEE
Prior to constructing or repair of ar�y water ot sewer line connecting the existing municipal system and arry house or building for which the
appfication is made,the owner or contractar shall be required to obtain a permit for sucN connection,and shaU pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notFfied. it shall be unlawfial to cover
arry connecting[ine untii an inspection fias been made and such connection and the work indderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAlRS AND MAIPITEIYANCE TO COMMECTION
After the initial cannection has been made to the water service curb stop boK or the sewer lead at the property tine or a water serai�Iead has
been extended to the property line for connection,the appliprrt.owner,or accupa�or user af such premises shal!be liabie for ail repairs
required ta arty water line and sewer lines necessary for connection of the premises from tfie main to the prem"�ses. if the property owner
requests main#enance service or repairs be pes�fvrmed by the City,tfie property owner shall be charged for the�of the mairrtenance and(or
repairs,includi�g necessary street repairs at a rate set annually by an administrative poliry. K shaii be the responsibility of the appluarit,
owner,occupant ar user to perform standard mairrtenance of the sewer service line from the premises to the mata including tlebris cfearin�or
roaC cutting and to mairrtain the water service curb stop box for onerahility and at such heiglrt as wiN ensure that it remair�s above the finished
grade of#he land ar property. {Ref 638,1156,1191J