Meter Swap .
Request Number: 11511
Public Works Division
Service Request
Problem Address: 7542 Sth St Requested By: Lynn w/Tim's Quality Plumbing
Department: WATER Address: No address provided
Problem/Issue: NRN WA1ER ON/OFF Phone Number: 571-0454
Scheduled Date: 2016-06-02 Scheduled 1lme: 10:00:00
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ACITONNEEDED:Turnoffwaterforrepair.***•BILL****
Created by: Wendy Hiatt Date Created: 2016-06-02
ACTION TAI�N:
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Status: InProgress ResidentContacted C'`
Date Completed: Completed by:
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- City of Fridley
- ..._ - Watpr Department ._.. . .. _, ...._
6431 University Axenue N�
Fridley,MN 55432
(7b3)572-3566
1/we herehy authQrize d��tY��+�ley and/or its
employees to do what is necessary ta repiace the water meter,t understand that the property owner
ic liahl�'or the water tine from the main to the premise and aq interior ptumbing. (Per I�jl c�
402.Q6) i.alsa hald tfie Cta y of fridley andiit�employees harm(�ss or any amages a may -
while doing this aperation. This to indudet but not limited to,ua��es►P�pi�g►��.���or the curb
stop box and service line. I understand I arn also repuired to a6t�n a permit prior to any woric,if
<: neces�ary.
55 � �
nal eter readin old meter � �
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.�it� t0����YrI.Q� Address:�' ���i
Name• .
Phone Number;��� ���' G���ate:��� -
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5ignature: P
3A��
. Witr�ess 5ignature•
FRIDLEY C1TY CUDE
CHIZPTER 4�Z.WATEtt,STORM WATFlt,AIdD SANITARY SEWER
ADMlNISTRATIUN
(Ref Ord�l0113,464,565;566,6Z9,538,662,922,9&8,1144,1156,119iJ
402.05.PERMil'FEE � .
Priar to canstructing or repair of any water or sewer tlne connectingt�e e�dsting municipal�ystem and any hause
ar 5uitding fvr which the application is made,the owner or�ontractar shatl be required to obtain a petmit for such
conrrectian,and shall pay a permit fee as pravided in Chapte�11 of this Code. After such cannect3an has been
made,the iNater and Sewer Department shaU be natifled. tt shall be unlawfu4 tu cove�aay connecting Gne uotit an
inspection has 6een made and such cannecCion and the work incide�theretn has been approved by the City as a
praper and su�table connectian.
402.06.6EPAlR5 AND MAtNTENANCE TO CONt�ECTtt7N �
•--�--�----�ia6*�the water setvice wrh stoa box ar the sewer lead at the prapert'
��IGt�W�-COAI]2CLwuya�i+ic
fine or a water service or sewer lead has heen extended to the propertyline f4r cannection�the appliant,owner,
or the occupant or user af such premises shall be liable for aif�epai�required to any waker line and sewei'lines
necessary fot connectian uf the premises from the tnain to the pra�ises. If the prop�tty owner requests
mainfienance service�r repairs he performed by the City,the pruperky owner shali he r�arged far the cost�of the
. meintenance and/or repairs� including any necessary street repairs,at a rate set annually by.an adminlstrative
policy. It shall be the responsihility of tt+e aPP�i��nt,owner,occupant or user ta perform 5tandard maintenance af
� the sewer service Gne from�he premises to the main includtng de6ris clearing or caot cuttiag and tn mafi�aln the
water servic�curh�top hox far operability and afi such height as w�l ensure that it remains abave the finished .
:,,grad"e of ti���lar�d vr�r���r�y.��R�6 a,��55,_�..���:� .. . _. ..._ ...• .. _ _:.._ . ..-� �. _._. . _:..� .:=.-