Meter Swap , ' Request Number: 13570
Public Works Division
Service Request
Problem Address: 5497 E Danube Rd Requested By: Gretchen
Department: WATER Addres`: No address provided
Problem/Iaaue: INSTALL ANII't METER Pboee Nnmber: 'I63-572-2514
Schedulad Dste: 2017-02-23 Se�e ma: 07:00:00
, f� �
AC1I�N NEEDED:
Createi 6y: Wer�lyr Hia�t Dwte Cre�ad: 2II17-02-21
ACTI N'�'
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Statua: In Pro�eess Snbmitter Ii�a Been r,
Co��ted
I}�►te Cee�pteted: Compieted by:
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5432 l9niversityr l�ver,ue Pl� Q
Fridleya M6'1r 55432 �Q �1 �
w 763-572-356� �
. �0'"0� hereby authorize the�'rty af Fridley andJor its employees to do what is necessacy to
replace#he water rrieter. 1 understand that�he property owner is tiabte for the water line from tt►e main to the premise and ail irnerior
plurr►bing. (Per C�ty coste�02.06) i also hold the�ty�f Feidley andf i#s employees harmless for eny slamages t[tat may occur+ahile doing this
operation. This to�ncfude,but not limi#ed to valves,piping,walts,floors or che curla stop bnx and service line. 6n understand 1 am also reyuir
to obtain a permit prior to any avorlc,if necessary.
�.ia — � �7 � 9 � v - v �
FltYAL METER READING(o1d meter}_�/� ` � i D
Aiame• `�'y�'r/"�VT�/` Addtess �- •� ( �i �V� �
Phone Number ( 7C7����'�Z��� � '�� .- � ��
Signature_' I `�..� f YYitness Signatvre
o�D nn�r�R� �Z��� gJ�o�0
OLD READtNG (/�� ���
NEW METER#� � "�� � � �j
Nf1N READI�IG �
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FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM VIlATER AAtD SANI'i'ARY SEWER
ADMINlSTRATIO'N
(Ref Ord No 113,�64,565,566,629,fi38,662,922,988,1144,1I56,i191)
402.5 PERMIT FEf
Prior to constructing or repair of any water af sewer tine connecting ifie existing municapat system and arry hause or twiiding for which#�e
application is made,the owner or cornxactor sha(t(se fequired ta obtain a permi�for such connection,and shall pay a perm�fee�prrnrided irr
Chapter 11 of this Code. After such connection has been rnade,the IA/ater and Sewer Departmerrt shali be natFfied. R shall f�unlawful to c�re
any connecting line until an inspection has been made and such connection and the worlc incideirt thereto bas been approved!tY#he C'ity as a
proper and suitabte connection.
402.06 REPAtRS AR{p MAIAITENAfYCE TO COMNECf10N
After the initiaf cannecfiion has been made to the water service curb stop box or the sewec lead at the property line or a rrater serv�ce lead has
been extended to the property line for cvnnedion,the appiicarrt,owner,or occupant or user of such premises shall be tiabte fw af{repairs
required to any water line and sewer lines necessary for�connection of the premises from the main to the premises. Ff the property owner
requests mairrtenance senrice or repairs be perFormed by the Cifiy,the property oevner shali be charged for#he costs oF the mairrtenance and/or
repa'srs,inciuding necessary meet repairs at a rate set annuaify by an administrative policy. It shatl be the respon�bility of the appiicartt,
owner,occupasrt or user to perform standard maintenance of ihe sewer service line from the premises to the main�rtdudfe�g ckbris dearir�g or
root cutfing and to maintain the water service curb stop box for opera6ility and at such height as wiii ensure that it remains above tl�e flnished
grade af fihe land or property. {Ref 638,1156,1191j