Meter Swap Request Number: 13424
Pubtic works Division
Service Request
Problem Addreas: 5554 E Dawbe Rd Requested By: Houa H.
DepArtmeat: WA'IER Addresa: No sddtess provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-669-1913
Scheduled Date: 2017-02-21 &heduled 1lme: OS:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-02-10
A ON TAKEN:
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Status: 1n Progress Submitter Has Beeu r,
Contacted
Dxte Completed: Completed by:
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6431 Unev��sit^g�l�ver�a�e N� � � �� � �
Fridley, MN 55432
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'0'A°� her�by authorize the Crty of Pridley andJor its empioyees to slo what ds necessary to
replace Yhe wafier meter. t understand that the property owner�s liable far the water line from the main to the premise and all interior
pluerabing. (Per Crty�ade 402.06� i also+hold the C'rty a�f Fridley and�ts empioyees harmless#or any damages that may�tcur while doing�tFiis
oper�tion. This to�nctude,but not lima#ed to valves,piping,walis,floos�s or the curb stoP box and service line. In understand I am aiso requir
to obtain a permit priar to any�ror4c,if necessary.
FttYAL METER READIAtG{ottt meterj � � � � �
A1ame: �^�� Address "'��� � � ���N�, �
PhonetYumber 1� 1���- 6—' �� �� p� �� �``-' ��
Signature _ tAlitness Signature
OLD MET�R# � � �O� �
OLD READING `� I � � O i�
NEW METER# ���� � � � �
NEW READ111(G l J
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FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlA!ISTRAT{ON
�" (Ref Ord No 113,464,565,566,623,638,662,922,988,1144,i156,1191j
4Q2.5 PERfiAIT FEE
Prior to cortstructing or repair of any�rater ofi sewer line connecting the existing municipal system and arry house oc buitdir�for which the
appiication is made,the owner or comractar shatl be required to obtain a perm�t for such connection,and s6alt pay a permit fee as provided in•
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Department shali be notified. it sfiall be unlawfui to cove
any connecting line until an inspection has been anade and such connection and the wor�inciderrt thereto has been appr���ed by the CFty as a
proper and suitable connection.
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�02.06 REPAIRS AfVID MAINTEtYANCE TO CONNECI'fOM
After the initial cortnectiort has been made to the waier seroice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for wneection,the applicarrt,owner,or occuparrt or user of such premises shatl be liable for a11 repairs
reqaired to any water line and sewer lines necessary#or connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be performed by the f.ity,the property owner shail be charged for the costs of#he mairrtenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shai!be the responsibi['rty of the applicant,
oarner,occupant or user to perform standard mairrtenance of the sewer service line�From the premises to the main�nctuding debris dearing or
root cufiting and to maintain the water service curb stop box for operabil'rty and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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