Meter Swap 4 '
Request Number: 15648
Public Works Division
Service Request
Problem Address: 8026 Ruth St Requested By: Ms Monesche
Department: WATER Address: No address pcovided
Problem/Issue: INSTALL AMR ME1ER P6one Nwnber: 61 Z-516-7242
Scheduled Date: 2017-06-02 Schednled'Ilme: 02:00:00
� LC � �c,�
ACTION NEEDED:
Created by: We�y Hiatt Date Crented: 201'-OS-31
AGTION T.4I�N:
..............����.__....._....��� _........._-____._.�........._._............__.._.......__�_._.._.._.____.._.�...._..�.......___.._...�..._.........�____......._._...__-_
Status: In Progress Snbmitter Hsa Been r
Co�s�ted
Date Completed: Completed by:
Hours ��r
� ~ �- '�
��``~y
�i�ty o#�radley � `� `� � ��"1 � �D �
_ Wa�er De�arteraea�t �
� 6431 l�niversifiy Avenaae NE b �?j�
S
! F�idleY,MN 55432
763-572-3556
r/we hereby authorize the C�ty of�Frid(ey and/oc its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per�ity code 402.06) 1 also hold the City of Fridiey andrts emptoyees harm{ess for any damages that may occur while doing this
operatiom. This to indude,but not lim'rted to valves,piping�walis,floors or the curb stop box and service line. In understand!am aiso require
to obtain a permit prio�to any work,ifi rtecessary.
FINAL METER READiM6(oid meterj ��� ��D
Alame• . YV������ Address �✓L.) U�
Phone Number 1� � � i l�� 0�@ � ����
ignature Witrtess Signature
OLD MIETER# ���� �Z�
OLD READING ` b�� � - 6
ti�w n�erER� ��2��Zc��.
NEW READINC'a �
f�-# � �22� 3�2
FRtDLEY COTY CODE
CHA�TER 40Z.WATER,STORM WATER AND SANITAFiY SEWER
ADMINISTRATION �
(&tef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMtT FEE
Prior to constructing or repair of any water of sewer Itne connecting the existing municipat system and any house or buiiding for which the
application is made,the owner or comx�actor shafl be required to abtain a permit for such con�ection,and shail pay a perm�t fee as provided in
Chapter 11 aF this Code. After such connection has been made,the Water and Sewe�Departmerrt shalt Fie notifiied. It sfiali be unlaurfui to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402A6 REPAIRS AND MA4NTENANCE TO COWNECTION
After the initiat connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrise{ead has
been extended#o the property line for connectio�,the applicant,owner,or occupant or user of such premises shall be liable for alf repairs
required to any water line and sewer(ines necessary for connection of the premises from the main to the�remises. tf the pro�rty otivner
requests maintenance service or repairs be performed by the City,the property owner shali be char�ed for the c�ts of the mairrtenan�and/or
repairs,inciuding necessary street repairs at a rate set artnual(y by an administrative poliry. tt sfiall be the responsibifity 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 to mairrtain the water service curb stop box for operabii'�ty and at such height as wili ensure that it remains above the tinished
grade af the land or property. (Ref 638,1156,1191)