Meter Swap 9
Request Number: 13497
' Public Works Division
Service Request
Problem Address: 547?E Danube Rd Requested By: Rick Nye
Department: WATER �r�gg. 5477 E Dawbe Rd
Fridicy,MN 55432
Pro�em/Iasue: INSTALL AMR METER Phone Number: 763-574-0975
Schednled Ihte: 2017-02-21 Sched�led 11me: 11:00:00
ST" 1
.
ACTION NEEDED:
Created by: Beth Koxidrick Date GYeated: 2017-02-15
AC1I4N TAI�N: -
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Status: In Progess ���er Hsr Been �.,
Cont�ted .,,
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Date Com�eted: � --a� „ �� Completed by: 1� � '
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6431 t9niv�a•sit}r Aversue N� ' _
Fridley,MAi 55432 �li �-� .7 j �
763-572-3566 ^� 1 a'1,i l�`7���(�-- U ,�:�
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�✓�e hereby authorize the Ciiy�f Pridley and/w its empioyees to do ovhat is necessary Yo
re;�Nace the water meter. I understand that the propee�ty owner is iiabte for the water line#rom 4he main to the premise and all interior
. plumbing. (Per City cocie d02.06$ i afso hotd the ei�/�of Pridley and/its employees harmless for any damages tfiat may occur wbile doing this
operation. 3his#o include,but not limited#o valves,p�ping,walis,floors or the curb stop box and service 1ir�e. In understand I am also requir
to obtain a�ermit prior ta any wor4c,�f necessary.
FINAL ME'f'ER READING(old meter) � �v J ✓��
lvtame: 1��`tJl"� � T L: Address � ! t � �• �JC1�.V1.�V4 �'
Phone Numi�er ���'�� 1� O ! / � pate �t�.' � � 'r '�
Signatare Wttness Signature ��
OLD METER#����tL� �,"f
OLD READ[11iG__
V� �� 3.7� ;
NEW MECER#� 1� `� � � g�
iVEW READiAiG d
fRT# � � �� lU� p� �
FRIDLEY CITY C�DE
CHAPTER 402.WA7ER,STORM WATER AND SAN{TARY SEWER
ADMBYISTRATION
{Ref Ord No 3.13,464,565,�66,629,638,66�,922,988,1144,IS56,i191j
402.5 PERMIT FEE
Prior to constructing or sepair of ar�y water of sewer line connecting the e�dsting muniapal system and arry house or buiidir�for which the
appiication is made,the owner or cantractor shal{be sequired ta obfiain a permit for such cannection,and shaU pay a pemtit fee as provided irr
Cha}rter 11 of this zode. After suci�connection has been made,Che Water and Sewer Dspartmerit s1�wU be notified. !t shall be untawful to cove
arty connecting[�ne until an inspection has been made and such conaection and#he wor&inaderrt thereto has been approved by the CN.y as a
proper and suitabie connection.
402.06 REPAlRS AND lMAINTENANCE TO CC)NfYEC7'iON
After Che inifiiai connection has been made to the wafier senrice cvrb stop box or Che sewer lead at the property line or a water seevice lead f�as
been extended#o the property fine for connedion,ihe appiicarrt,oavner,or occuparrt or user ofi such premises shaif be liable for all r+epairs
required to any water tine and sewer Csnes necessary for con�edion of#he premises from the main to tfse premis�s: ff the properry owner
requests mair�#enance service or repairs be performed by the C'rty,#he proper[y owner shall be+charged far the costs aF#he maisrtenance and/or
regairs,includirtg�ecessary street repairs at a rate set annuaily by an administrative pvlicy. {t sfiaN be the responsibii'►ty of the appGcartt,
owner,occuparrt or user to perform standard rnaintenance oF the sewer service line from the premises to the main including debris dearireg or
root cutfiing and to mainfiain the water service curb stup box for operability and at such height as will ensure that�C remai�s above the�inished
grade af the land o�property. (Ref 638,1156,1191)