Meter Swap �
' Request Number: 12707
, Public works Division
Service Request
Problem Addreaa: 7543 Tempo Ten Requested By: S�eila
Dep�rtment: WATER Addrea:: No acidress providad
Preblem/Is��: INSTALL AMR ME'IER Phone Namber: 763-786-3640
Scheduled Drte: 2017-01-OS Sc�dnled Time: 11:30:00
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ACIiON 1VF,�DED:
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Crt,ated by: Wendy Hiett Date Created: �'�7-0�$�
ACIION TAKEN:
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��tus: In Progc�ess Su�mitter Hn Deae I_
Co�cted
Date Co�teted: �—Cj � �� Completed by: , . '
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City of Fridley
Water Department � � I ��,�j
6431 University Avenue NE �
, � Fridley, MN 55432 �i;r�� ���
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763-572-3566 �����
�/We hereby authorize the City of FritJley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service tine. In understand 1 am also required
to obtain a permit prior to any woric,if necessary.
FINAL M£TER READING(old meter)—_`v"� �,� ��
Name• ��P t��''� �►ddress_ �.� �� ��`��INI,�G ��-��
Phone Number �� ✓'J !CJ��"``-' Date �J�~ � [
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� ignature .V ����¢ ����TJ/� Witness Signature
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OLD METER# lJ l�� � � �
OLD READING `�� t � ��
NEW METER# _�� I I �� 1 1
NEW READING v �
ERT# �� U � � I � W
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY 5EWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,fi29,638,662,922,988,1144,1156,1191j
402.5 PERMIT PEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and atry house o�'building for which the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be nottfied. it shall be unlawEul to cover
any connecting line until an inspection has been made and such wnnection and the wor�c incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial connection has been made to the water senrice cvrb stop box or the sewer lead at the property line or a water sernke lead has
been extended to the property line for connection,the appiicarrt,owner,or occuparn or user of such premises shaii be tiabie fior all repairs
required to any water line 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 City,the property owner shall be charged for the costs of the maimenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsi6ility of the applicaM,
owner,occupaM or user to perform standard maintenance of the sewer service line from the premises to the main including de6ris dearing or
root cutting and to maiMain the water ser�ice curb stop box for operability and at such height as will ensure Chat it remains above the finished
grade of the land or property. (Ref 638,1156,1191j