Meter Swap + �' Request Number: 13099
Public Works Division
Service Request
Problem Address: 5547 E Danube Rd Requested By: Scott
Department: WA'IER Aaddress: 554?E Danube Rd
Fridley,MN 55432
ProWem/issue: INSTALL AMR METER Phone ATumber: 612-216-4501
Scheduled Ds�te: 2017-02-02 Scheduted Tlme: 01:00:40
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ACIION NEEDED:
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Created by: Beth Kondrick Date Cra�ed: 2017-01-26 �
ACITON T . �
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St�ns: In Progress ���er Has Been r.
Contacted
Date Completed: � � p�, —' '� Completed by t
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V�iate��e�arta�t�ent
6431 Univer�sity J#vea�ue NE � � �,� �j 7 L_:
Fridley, MN 55432
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1/we hereby authorize#he City o�f Fcidley and/or its employees to c!o what is necessary to
re�lace the water meter. �understand that the proper#y owner is liabte for the water lie+e from the main to the premise and a11 irnerior
pfuerabing. {Per City coale 402.06) i also hold the City vf Fridiey and�ts empioyees harmtess#or eny damages that rs3ay occur while doing this
operation. This to Fnclude,but not limt#ed do valves,piping,walis,flaors or the curh stop box and servece line. tn understand i am also require�
to obtain a permit prior to any worlc,if necessary,
FINAL METER READING(old mefier) ��� � �[ �
Name: ��� Address �� 6� � • ��0..4-t�Y � �
Phone Number �Z''��tJ� "��l� ( Date � � �� � L
Signature Nlitness Signatuce '"'�'
OLD METER# 6 ���� �U
OLD READING �a �5 3 l a
MEW METER# y � 1 v �✓ ��
NEW READING �
ERT# � ` �O'�Q �O �
FRIDLEY C1TY CODE
CHAP''TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord Pto 113,464,565,566,529,638,662,922,988,I144,1156,1191)
4U2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal sys#em and a�house or bu�ldis�g for arhich the
application is made,the owner or contractor sha(I be required to abtain a permit for such cannection,and shali pay a permit fee as provided in
Chapter 11 ofi this Code. After wch connection has been made,the Water and Sewer Departmert shalt be notified. It shai{be un(awFui to cover
any connecting line unt7 an irrspection has been anade and such connection and the tierar0�inciderrt thereto has been approved by the Crty as a
proper and su'rtable connection.
402.06 REPAIRS AND MAIWTEIYARICE TO CONNECTION
After the initiai co�nection has been made to the water service curb stop box or the sewer fead afi the propercy iine or a water service lead t�as
been exfiended to fihe proQerty line for cannection,the appiicarrt,owner,or atcupant or user of such premises shail be liabie for atl repairs
required to any water line and sewer lines necessary fvr connection aF the premises from the main to the premises. tf the property owner
requests mair�tenance se�vice or repairs be perEormed by the C'ity,the property owner shall be charged for#he cos�ts of the mairrtenance and/or
repairs,inciuding r�ecessary street repairs at a rate set annuaily by an administrative policy. tt shall be the responsibitity of the applicarrC,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main dnciuding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such heigNt as will ensure that tt remalns a6ove the finished
grade of the land or property. (Ref 638,1156,1191)