Meter Swap , ' Request Number: 15639
Public works Division
Service Request
Problem Address: ?131 Rirerview Terr Requested By: Tom
Department: WA1ER Address: No adr�ress provided
Problem/Taaue: INSTALL AMR ME1ER Phone Number: 763-458-0922
Scheduled Dxte: 2017-06-01 Schednled 1lme: 08:30:00
�.ST �'?�j
ACTION NEEDED: '
Crexted by: Wendy Hiatt D�te Created: 2017-OS-31
AC1�N TAI�N:
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Status: In Progress Submitter HAs Been r
Contacted
Date Completed: /• 4 � _ �� Completed by: � }�,
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�i#y of�ridley �� Y ��I� `0 ��O �
Water Depaatersent �� ���
Y � fi431 l�niversi�y Avenue NE
FradleyD MN 55432
763-572-3556
��'"�e hereby authorize the C�ty of Fridley and/or its employees to do what is necessary to
repiace the water meter. !understand that the�ro�erty owner is liabfe for the water line from the main to the premise and ali irrterior
p(umbing. (Per Cityt code�02.06) 1 atso hold the Crty of Fridley andPts employees harmless for any damages that rr+a}t acwr whiie doing this
operation. 3his to Inctude,but not limited to valves,pipin�walls,floors or the wrb stop box and service line. in understand 1 am also requirE
to obtain a permit prio�to any wark,if t►ecessary.
FINAL METER READtPIG(oid meter) �� 1 � � � �
Plame:��� Address_��� �,��(}'e���C.� 1�.
Phone lYumber ��� "�� ��p pt, p� _ C Q -- � `-- ` �
�Signature + Witness Signature — —
OLD METER#_ v �1�� l (/�
OLD READING +� �� [ ` G�
NEW METER# " � 6��� I �ll1
NE1IV READING �
E�#__ �� 355 o�.a
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER
ADMIPIISTRATION �
(lief Ord No 113,464,565,566,629,638,662,9Z2,988,1144,1156,1191)
4�2.5 PERMCT FEE
Prior to cvnstructing ar repair of any water of sewer I"sne cannecting the existing municipai system and arry house or bui(ding for which the
application is made,the owner or contrador shall be required to obtain a pe�mit for such connectiun,and sfiali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be rtotified. It shait be unlaaefi,rl to cover
any connecting line unti!an inspection has been made and such connection and the work�ncident thereto has been approved by ihe City as a
proper and suitable connectioa.
�02.06 REPAIRS AND MAINTENANCE TO COPiPiECT10N
After the initiat connection has been made to the water service curb stop box ar the sewer lead at the property line or a water seroice lead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the qremises frorr�the main to the premises. ff'the property owner
requests maintenance service or repairs be performed iry the City,the property owner shall be charged for the costs of the mai�rtenance and/ar
repairs,inc{uding necessary stree#repairs at a rate set annually by an administrative policy. It shall be the responsibility aF the applicarrt,
owner,occupant or user Yo perFarm standard mair�tenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as wiif ensure that it remains above the finished
grade af the tand or property. (Ref 638,1156,1].91)