Meter Swap ` �� ^ — — Request Number�966
Public Works Division
Service Request
Problem Address: 130 Talmadge Way Requested By: Mary
Department: WA1ER �ldress: No address provided
Problem/Issue: iNSTALL AMR ME1ER Phone Number: 571-3881
Scheduled Date: 2017-06-15 � Sc6ednled Tlme: 10:00:00
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AC1I�N NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-13
ACiION TAI�N;
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Status: In Progress Snbmitter Hns Been �,
Coutacted
Date Completed: /' _ � �c _ � Completedby: C ��
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. ��tyo���a�'�y � l�— `72���✓a `—�.�
� Wa�er Departrnertt �-�j � �� �d
�431 lJniversity A�enue NE
Frodley,MN 5543Z
7f>3-572-356�
'l'Ne hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liabie for the water line from the main to the premise and alt'sr+terior
p{umb9�g. (Per C?ty cade 402.06) 1 also hoid the City of Fridley and/'rts employees harmless tor any damages that may ocwr wh7e doing this
operation. This to indude,6ut not limited to valves,piping,watts.floa�s or the curb sfiop box and service line. In understand t am aiso require
to obtain a permit prior to arry work,if necessary.
FIPIA!METER READIf11G(otd meterJ � 1�� � �X. v
Plame:� 1 Address ���� t��1.�`�/1/,,f,�, .
Phone lYumber
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�ignature Witness Signature
.:'
' OLD METER# �� a c�
OLD REAIDING �C��C.I��
NEW METER# � !�o+�V���O
NEW READlRtG b
El2T# I ��� l T l � r'=,. , .
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FRiDLEY CITY CODE "-
CHAPTER 402oWATER,STORM WATER AND SANITARY SEWER `�
� ADMINISTRATION ,�
(tief Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line conrtecting the existing municipai system and any house or(wi(ding for which the
appiication is made,the owner or corrtractor shali be required to obtain a permit for such connection,and shait pay a permit fee as provided in
Chapter lI of this Code. After such connedion has been made,the Water and Sewer Departmerrt shall be notified. It shall i�unlawful to cover
any connecting line until an inspectivn has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPl�11RS AfYD MAINTEPIANCE TO COMPlECT10N
After the initial connection has been made to the arater senrice curb stop box or the sewer lead at the property line or a water service lead has
been axtended to the propertV line for sonnection,the appiicant,owner,nr occupant or user of such premises shall be liabte for ap repain
required to any water line and sewer lines necessary for cannection of the premises from the main to the premises. tf the property owner
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mairKenartce and/or
repairs,including necessary street repairs at a rate set annualty by an administrative pol�cy. It shall be the responsibitity of the applicant,
owner,occupant or user to perForm standard mair�tenance of the sewer seraice line from the premises to the main inciuding debris dearing o�
root cutting and#o mairitain the water service curb stop box for operabil'rty and at such height as will ensure that ii remains above the finished
grade of the fand or property. (Ref 638,1156,1191)