Meter Swap , `
• Request Number: 12938
Public works Division
Service Request
Problem Address: 7541 University A�e Requested By: Da�e
Departme�: WA'IER Addreas: No address provided
Problem/Issue: 1NSTALL AMR ME1ER Phone Numbcr: 612-239-8559
Sehednled D� 2017-0 -24 � Sc�eduled Time: 10:3U:00
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ACIION NEEDED:
CrextEd by: We�y Hiatt D�te CYeated: 2U17-0I-18
ACIiON TAI�N:
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Statns: �pro�� Sabmitter Ii�Bean �
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Ds�te Compteted: �^ �-'�� Complcted by: ��(_T�/
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Watea-�e�sartrnent ,.--
5431 i6niversity J�ver,ue 6VE � b � �.s�':�
, Fridleya MN 55432 �
F � 753-572-3566 -�1�s. ��-���1���t
�/�e hereby authorize the C'ity uf Fri+dley andJor its empioyees to aJo what ds necessary to
rep9ace the wafier meter. !understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06j i also hold the C�ty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,p9ping,wails,floors or the curb stop box and service iine. In understand 1 am also require�
to obtain a permit prior to arry jera�c,if necessary.
F11YAL METER READING(clsl meter) " � `-� l ��
luame• ��� Address d ��� V'v Vv�r.�ja`�`j� ��..
Phone Number �1�Z.�(� [ `� V Date � —�'�� � L
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Signature _ Witness S�nature
o�o M�-�R# ( �� �`7 �27
OLD READtNG ��� � ���
NEW METER# �� �� � ( � �
NE1N READIAIG �
ERT# �U�7 l q v,�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAftY SEWER
ADMINtSTRATtON
�Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and arry house oc building for which the
applicafiion is made,the owner or cor�tractor shatl be required to obtain a permit for such co�nection,and sfiaU pay a permii fee as provided irr
Chapter 11 of this Code. After wch connection has been rnade,the Water and Sewer Departmerrt shali be not�ed. it shall be untawful to cover
any conneding tine until an irtspection has been made and such connection and the work inciderrt thereto has been apprrnred iry the City as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTENANCE TO C0IYMECTION
After the initia!connection has been made to�the water service curb stop box or the sewer lead at fifie property line or a water senrice Iead has
been exfiended to the property line for wnnection,the applicarrt,owner,or accupant or user of such premises shall be tiable for�il repairs
required to any water line and sewer lines necessary fvr connection of the premises from the main to the premises. If the property�rner
requests mairrtenance service or repairs be perFormed by the C'rty,the properly owner shatl be charged for the costs o#the maicrtenance and(or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. tt shal!be the responsibil'rty of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain tfie water service curb stop box for operability and at such height as wili ensure that it remains ahove the fPnished
grade af the land or property. (Ref 638,1156,1191)