Meter Swap y Request Number: 13226
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Public Works Division
a Service Request
Problem Address: 5512�illmore St Requested By: Joe Rheault
Departmeet: WA1ER Address: 5512 Fillr�n St
Fridley,MN 55432
�Problem/Lcsue: INSTAI,L AMR METER P�ne Number: 612-791-9321
Scheduled Dat : 2017-02-10 Schednled Tlme: 01:00:00
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AG'liON NEEDED:
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Creatted by: Beth Kon�ick IMte Cre�ed: 2017-42-02
A ON T .
Status: ' In Progress ���er R�Been r,
Coutacted
Date Completed: Com�eted bys
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Fridley, 6U16r1 554�2 �
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�/�°'� hereby authorize#he�ifiy af�ridley andJor its emPioyees to sto arhat ds necessary
re�lace the water meter. ��nderstand that#he�ro�aerky owner�s liable for the wvafier line from 2he main to tlte premise and a11 irrterior
�pla�rrabing. {Per C'rty cosle 402.06� 1 adso�old the Caty�#Fsidiey andJ'rts errsployees harmless for eny siamages that may�occus Yrhile�Ioing th
o�oeration. This�o include,#w$rsot 9imited to valves,g��ping,walis,floors ar#he suri�stoP ta�ox and senrice�ir�e. In understand!am also req+
to o8xtaira a permifi prior to any�erar9c,�f r�ecessaey.
Fl11fAL lMIETER READItYG(olct mefier) � � � � `y �•+
Name:� 1"����Ss�►/�� Address_�/�1� �1 i�yy�6`��Q. ��
PhQne�Fumbes- . ��� �r"V �' Date L� 1��✓�'��
Sigmature_ W�tne�Signature
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OLD READtiV � 1 � � ���
RPEW METER#__`�� �, �,�
IVE1N READlRIG�
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FRIDt,EY CITY CODE
CHAPTER 402.WATER,STORN!WATER AND SAN{TARY SEWER
ADMfNtS3RATfON
(Ref Ord No 113,464,565,566,629,63$,662,922,988,1144,i156,i191j
402.5 PERMIT FEE
Prior to construcCing ar�epair vf any wa�er of sewer fine connecting the existing muniapat system and a+ry house or building fvr which the
appticativn is made,the owne�or comra�ctor sftali be required to obtain a perm�t for such connection,and shall pay a permit fiae as p�id�l;
Chapter 1Z of this Code. After such cannecCion�as been made,the Water and Sewer Deparfimer�t shaA he�totified. tt shai!be uniawfui to co�
any connecting line untii an inspectio�has been made and such connectian and the wor�c?naderrt thereio has been approved py the�ii,y as a
proper and suiqble connection.
402.05 REPAlRS Af01D MAINTENqNCE TO COPHYECTION
After the initia!connection has been made#o the water service arb stop 6ox or the searer lead at fihe propertY line or a water�rv�e lead#ta
been extended Lo fihe property line for connection,the appiicarrt,owner,or occuparrt or aser of such premises shalt be liabie for afl repairs
required�o any water line and se�ver lines necessary#or cannection aF the premises from the main to the premises. if#he property o�rner
requests snairrtenance senrice or repairs be perFormed by the C'ity,x6e property owner shatl be charged for the costs oF the maicrterrance and/�
repairs,inciuding necessary street re}aairs at a rate set annually b+�an administratide pol'scy. R shai{be the respor�sibii'rty of the applicarrt,
awner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premises io the main tndu�ng debris dearing rn
root�sutting and to mairrtain the water service curb stop box for operability and at such heigirt as wili ensure that it remains a6ove the finishec
grade of the land or property_ (Ref 638,1156,1191)