Meter Swap �
� Request Number: 12753
Public Works Division
Service Request
Problem A�ress: 7381 Symphouy St Requested By: Ashebar Amare
Departmest: WATFdt Address: No acidress provided
Prodtia/tseue: 1NSTALL AMR ME1ER Pho�Nember: 763-245-65ti4
Schedaled e. 2017-01-18 � Se�ed�ledltme: f)8:30:06
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ACIION NEEDED:
Created by: Wendy Hiatt l�rte Cre�: Z�lI7-0I-06
ON TA1�N•
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Coatacted
Il��e Completed: Coe�leted by:
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�ery or rr�apey
Water�3epartrnent
6431 Universit�/Avenue NE �2 �,�, �;�j j��)�'��
Fridfey,MN 55432 �
y 763-572-3565 S � a Q j �
' t/we hereby authorize the Ciiy of Fridley and/or its employees to do what is�ecessary to
replate the water meter. I understand that the property owner is liable for the water Iine#rom the main to the premise and alJ interior
plumbing. {Per City code�02.Q6) t also hold the City of Fridiey and/its employees harmless#or any slamages that may occur while doing this
operation. This to inctude,bufi not limited to valves,pipirtg,walls,floors or the curb stop box and senrice line. In understand 1 am atso required
to obtain a permit prior to any woric,i�necessary.
FINAL METER READtNG(otd meter �� � �
Name: � �h� Address ��' � �'l ��
Phone Numher���������� p� �r �t.�� �
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ignature "" Witness Signature .
OLD METER#���� � �� �
OLD READtNG�f ),�_� �C� C�''�� ,�`���)
L ( SS �����`�'�
NEW METER# �'t�' �� �
NEW READiNG `/
ERT#��v � ��+ - 1�
FRIDLEY�tTY CODE
CHAPTER 402.WATER,STORM WATER AND S�tNRARY SEWER
ADM(NlSTRATION
(Ref Ord No 113,4&4,565,566,529,638,562,922,988,1144,17.56,1191)
402.5 AERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapat system anci arny houx or butidjng for which N�e
application is made,the owner ar corrtractor shatJ be required to obtain a permit for such connection,and shall pay a�rmit fee as provided in�
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmer�t shaN be natified. !t shatl be untawfui to cover
any connecting line until an�nspection has heen made and such connedion ar�d the work inaderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAHYTENAtYCE TO CONtUECTtON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property IFne a�a water service lead has
been extended to the property line#or wnnection,the appticarrt,owner,or occuparrc or user aF such premises shati be liabie for aii repairs
reqaired#o any water tine and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the C'rty,the property owner shal!be charged for the costs of the maicrterrance and/or
repairs,including necessary street repairs afi a rate set annually by an adreinistrative potiry. it shatf be the responsibil'rty of the applicar�t,
owner,occuparrt or user to perform standarc!mair�tenance of the sewer service line from the premises to the main induding debris dearing or
root cutt+ng and to mairrtain the water service curb stop box for operability and at such he'�ght as will ensure that it remains ahove the finisi�ed
grade of 4he iand or property. tRef 638,1156,1191)