Meter Swap ' Request Number: 15653
Pubtic works Division
Service Request
Problem Address: 8020 Ruth St Requested By: Kent
Departme�: WATER Addreas: No adc�ess provided
Problem/Iasye: INSTALL AbIIt METER Phone Number: 763-784-4601
Scheduled l�ats: r--�017-06-02 Scheduled 1lma: 10:30:00
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ACTiON NEED�:D:
Cre��d 6�y: Beth Kondrick Date Created: 2017-OS-31
ACIION TAKLN:
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Status: In Progress Snbmitter Hac Been r,
Contacted
D�te Completed: /'^��_ �7 com��t�a�: ���
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. �itlt of Fridley I � 1 � `Li`� /��
4IW'ater Departrnent � � �
6431 lJnoversity Avenue IVE
� Fr�dL�y,MN 55432 �/1 � (,�Z��
763-572-3556 '�`�
�`'"�e hereby authorize the C'rty of Fridley and/or its emptoyees to do what is necessary to
replace the water meter. t understand chat the property owner is liabte for the water line from the main to the premise and all irrterior
plumbing. (Per C'rty code 402.06) 1 also hoid the City of Fridley andPts employees harmless for any dama�es that may occur while doing this
operation. This to include,but not lim'rted to vatves,piping,walts,floors or the curb stop box and seroice line. In understand t am also requirE
to obtain a permit prior to arry work,if necessary.
FINA!METER READ{NG(old meter) ✓ ��� D l./� o
Plame: �`i� Address VOV�- � ' 1(�,�� ✓J :
Phone Number `v'"i� " l V� ` 6tf�V'0� �^ a — �,�
../" .�.
Si�nature V ��_G- d'�+� Wit�ess Signature
OlD METER# ��0� "" 3�
OLD READING ��� � ����
NEW METER# '� �a a � i S i
NEW RIEADING O
E�# `�aa � �371
FRIDLEY CITY CODE
CHAI�TER 402.WATER,STORM WATER AND SANfTARY SEWER
ADMiNtSTRATION � '
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERfiA1T FEE
P�ior to constructing or repair of any water of sewer lirte connecting the extsti�g municipal system a�d any house or buiiding for which the
application is made,the owner or contrador sha(1 be required to obtain a permit for such connection,and sha(i pay a permit fee as provided in
Chapter 11 of ghis Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. it shall be unfawful to cover
any connecting line until an inspection has been made and wch connection and the work incident the�to has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AIVD MAINTEPIANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer iead at the property line or a water servicQ lead has
been extended to the property line for connection,the appiicant,owner,�r occupar�t ar user of such premises shall be Ifable for all repairs
required to any water i�ne and sewer lines necessary for connection af the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed f�y the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the r+esponsibitity of the applicarit,
owner,occupant or user to perform standard mairrtenance of the sewer seroice line from the premises to the main including debris dearing or
root cutting and xo maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade af the land or property. {Ref 638,1156,1191)