Meter Swap ., Request Number: 16005
.
Public Works Division
Service Request :
Problem Address: 140 Talmadge Way Requested By: Mr Kazvik
Department: WA'IER Address: No address provided
Probleno/Issue: INSTALL AMR ME1ER Phone Number: 763-269-5409
Scheduled Date: 20 06-16 Scheduled'Rme: 11:30:00
*�r�� !(,��' �l�.3a
AC110N NEEDED:
Created by: Wendy Hiatt Date Created: 20l 7-06-I S
ACTTON TAI�N•
( IL� ' �1�1�
Status: In Progress 5ubmitter Has Been r..
Contacted
Date Completed: Completed by:
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�6ty of F�adiey
Wa�er pepartrn�nt ��� , S2 a
, �431 l�niversity Averocae NE ��� � ��
Fr'sc!{ey,MN 55432 �� ����I
� 763-572-356�
'�'Ne hereby authorize the Crty of Pridley and/or its employees to do what is necessary tc
replace the water meter. 1 understand that the�rroperty owner is liable for the water Itne from the main to the premise and all irrterior
piurnbing. (Per�'rty code 402.06) i also hold the City of Fridley andrts employees harmleu for any damages that may acur while doing this
operation. This to include,but not(imited to valves,piping,walis,floors or the curb stop box and senrice line. In understand 1 am also requirE
to aFrtain a permit prior to any work,'ef necessary.
FINA!METER READING(old meterj v �� ���
Piame: 1" ```� 1��'�l� Address r v� �� 'e.� .
Phone�tumber�'� Lla���J" W� p� �` �"' V�
ignature_ �d� '�� � [ Witness 5ignature
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OLD MEfER# ���� `�D�
OLD READlNG � � I � �
NEW METER# ����2��
NEIA/READlNG�
E�-r# �"'1�LZ2�j. `���j
FEtIDLEY CITY CODE
CHAPTER 402.WATER,STORMI WATER APID SANRARY SEWER
ADMINISTRATION
�Itef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing ar repair of any arater of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shall be required to abtain a germit for such sonnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer►t shail be nofified. It shall be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the CFty as a
proper and suitable connection.
402.06 REPAIRS AIYD MAINTENAMCE TO COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water seroice I�ad has
been extended to the property line for connection,the appiicant,owner,or occupam a�user of wch premises shail be liable for all repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. tf the pmperty owner
requests mairrtenance service ar repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance and/ar
repairs,inctuding necessary street repairs at a rate set annually bg an administrative palicy. (t shall be the responsibility of the applicarrt,
owner,occupant or user fio perform standard mairitenance of the sewer senrice I+ne from the premises to the main inciuding debris clearing or
root cutting and to mairrtain the water senrice curb stop box for operabil'rty and at such height as will ensure that it remains above the finished
grade af the iand or property. (Ref 638,1155,1191)