Meter Swap .,
• Request Number: 15703
Public Works Division
Service Request
Problem Address: 8181 Ruth Circle Requested By: Michael Mackey
Department: WA1ER Address; No address provided
Probiem/Issue: INSTALL AMR METF,R Phone Number: 763-291-2(?48
Scheduled Date: 201 06-06 •�-� Scheduled 11me: 07:00:00
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ACIION NEEDED:
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Create�by: Beth Konc�rick Date Crcated: 2017-06-01
AC'IION TAI�N:
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Status: In Pro�ess Submitter Has Been r, �
Contacted
Date Compteted: � ,_ � ,_ '� Completed by: ��` , �
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�;�,����od�e„ �1 U — ���3� —�
' 4nrater Departmea�t
' 6431 l7niversity Avenue NE � � � �32'
�radiey, MN 55432
753-572-3566
i/we hereby authorize the City of Fridley and/or its emp(oyees to rlo what is necessary to
repiace Lhe water meter. i understand Chat the property owner is liable#or the watar line from the main to the premise and a1i interior
plumbing. (Per�ity code 402.06) 1 also hold the Cit�ofi Fridtey and�ts employees harmtess for any damages that may occur while doing this
operation. 7'his to include,but nat timited to valves,piping�wafis,floors or the curb stop box and service line. in understand l am also requirv
to obtain e permn prior to any work,if necessary.
FINA!METER READING(old meter) t/ "'`-�Vl � �J
Name• �l e �l G.�Q � �(.�.G_rC.`'i Address V � �� �lil.t'� ,i 1�.��
Phone 9Yumber ( � � � � 1 � �"o(V �Date �'"� � — l�
X Signature –LG� � Witness Signatuce �_
✓ \
OlD MlETER#_ � O�U�� ��
OLD READING _ � �� � �
NEW f1l�ETER#__ � f�o� 5 •b.�W
NEUV READING O �
E�-# �a 3�, s ��o
FRIDLEY CITY CODE ,
CHQ(�TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION �
(Ref 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 existing municipa!system and any house or building for which the
applicafion is made,the owner or corrtractor shali be required to obtain a permtt for such con�ection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connecCion has been made,the Water and Sewer Departmecrt shal!6e notifiied. (t shall be unlawfuf to cover
any connecting line urrtil an inspection has been made and such connecCion and the work incident thereto has been approaed by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEAIANCE TO COPiNECT10N
After the initiat connection has been made to fihe water service wrb stop box or the sewer lead at the property line or a water seroice lead has
been extended to the property line for connection,the applicairt,owner,or occupant ar user of such premises shall be liable for ail repairs
required to any water tine and sewer Iines necessary#or connection of the premises from the main to the premises. ff the proper[y owner
requests mairrtenance service or repairs be performed by the City,the pruperty vwner shalt be charged for the costs af the mairitenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standard mairrtenance of fihe sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiU ensure that it remairis above the finished
grade a�F the land or property. (Ref 638,1156,1191)