Meter Swap , s Request Number: 13522
Public Works Division
Service Request
Problem Address: 5763 Gentral Ave Requested By: Gvardiaa Property Mg�nt
Department: WATER Addresa: 5763 Ce�tral Ave
Fridicy,MN 55432
ProblemJtssue: INSTALL AMR METER Phoae Number: 651-287-2011
5chednled Date: 2017-02-24 Schednled 11�e: 08:3Q:00
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AC'IION NEEDED:
Created by: Beth Kondrick 1Mte Cre#ed: 2017-02-16
ACTION TAI�N: _
�`�' � � 1 �
Status: In Progress Submitter Has Been �
Coutacted
Date Completed: Compltted by:
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�43a�Orsiv��-sit'y J�►ve�we 9V� �^�} /
F�'idley,11t�41i 5 a432 �^ � � V
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4,�� hersfoy authorize#he City o#��idley and/or its esnployees to a90 what 6s necessary t
. regslace the water sneter. 1 y�nderstand that the�+roperty owner 3s liable for the water line from the main to the premise artd aA trcterior
piurrebing. {Per Crty sode dOZ.06� 3 adsv�Sold the esty�f Fridley and/'rts em�loyees haa�nless#or any sJamages that a�nay occur irrhiie doing thi
operation. '4'his to include,but oo�liani#ee1 io valves,piping,watts,#400rs or'xhe turb sto�O k�ox and senrice line. In understand d am also requ
to otataire a permit�ar�Q�r to any wr�r4c,if necessary.
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Fl4�tAl.�tiETER READIAIG�old mefier� � �O
�lame:�� Address �� �
Phone Number �/ Vr����' ` �� ��� ��
Signafiure Witness Signature
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FRIDLEY CiTY COD�
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
AQMIAI{S!'EiAT{Ofil
(R8f OYd BIi0123�464'S65'�65s 629�63$�662�922�9$8'I1�4J I156,1191j
402.5 PERMd7 FEE
Pryor to cor►structing or repair of any watec of sewer iine connecting the existing muniapal system and arry house o�b�,sifdir�for which the
eppiication is made,the owner or cornractor shat!be required to aM:ain a permit for such connection,and shall pay a permit#ee as provided'n
Chapfier 11 of this C.ade. After such connecCion has been rnade,ifie Water and Sewer Departmerrt shail be notified. tt shall be uniaarfui to rAv
arry connecting fine unti(an inspectson has been made and such connection and tt�e wos�inaderrt thereio has been approved by the Crly as a
prvper and su'rCabte connection.
�02.06 REPAIRS AR[p lIRIqIRITENAAICE TtJ CONMECTtON
AfCer Che initial connection has been made to#he wa�ter service curb stop box or the sewer}ead at the propecty iine o�a water senrice lead i�as
been extended to the property fic�e for connection,the applicarrt,owner,or accuparrt or aaser aF such premises shall be liable for a!1 repairs
required fio any water line and s2wer lines necessary#or connection of the premises from the main to the premises. )f the pmperty owner
requesis mairrtenance service or repairs be performed by the Cityr,the properCy owner shatl he charged for the�osts of the mairrtenance andJo
repairs,inciud�ng necessary yrtreet repairs at a rate set anauaity by an administrative poYcy. It shail be the responsibitity of the appipc�arrt,
owner,occuparn or user to perform standard maintenance of the server senrice line from the premises to fihe main inclu�ng debris deartng or
root cutting and to mairrtain the water service curb sfiop box for operability and at such height as witi ensure that�t remairis above the finished
grade of�e land or property. (Ref 638,1156,1191j