Meter Swap , Request Number: 13408
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Public works Division
Service Request
Problem Address: 6003 Gard�ena Circle Requested By: Tom Bazd
Departmeat: WA'IER Addreaa: No address provided
Problem/Issne: INSTALL AMR ME'IEER Phone Numbcr: 612-?16-5585
Scheduled Date• 2017-02- C ,, Sc6ednled Tlme: 08:00:00
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ACTTON NEEDED:
Cres�ted by: Wendy Hiatt D�te Created: 2017-02-10
ACIION TAI�N:
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Status: 1n Progress Submitter Has Been �
Conticted
Date Completed: Completed by:
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5431�3n'sv�rsit,r 1�,�re�,ue NE
Fridley, MN 554.32 � � � J �
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�1�� � here6y authorize ihe�ity af Fritiley and/or its empioyees to do what is necessary to
replace the wa�er rneter. 1 understand that�he property owner is liabte for the watee line from the main to the premise and all iMerior
,�ilumbing. (Per City sode 4U2.06) i a{sa hotd the eity aF F�idley andrts employees harmless#or eny damages tf�at may occur while doing this
oper�ation. This to�nclude,but not 19ma#ed to vaives,piping,wails,floors or the curb stop box end senrice 1ine. In understand!am also requir
t�o obtain a permit gr'sar ta any�rorlc,'sf necessary.
FINAL RAETER REAOING(ottt meterj 1 \ t L.� ��
Name: �Y� � Address__ �) ��1��� ,�'`--- C 1 r
Phone Num6er�� l � r ��/ � p� � �;�{— ��
S+gnature W�tness Sig»ature
OLD METER# l J� Z� �� �
OLD READt�IG__ �� I � ��
RiEW METER#_"T aJ�� �,��p`�'J
NEW READi1VG �
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FRIDLEY CIT1f CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIA!lSTRATION
(Ref Qrd No Z13,464,565,566,629,638,662,922,988,1144,I156,1191j
402.5 PERMIT FE£
Prios to constructin�or repair of any water of sewer line connecCing the exisfing muniapal system and arry house or huilding for�rhich tfie
application is made,the owner or coritractor shalt be required to obtain a permit for such connection,and shalt pay a permit fee as provided in•
thapter 11 of tfiis Code. After such connection has been made,the Water and Sewet Departmertt shall be notified. tt shali be uni�wwful to cove
arry tonnecting line ur�tii an inspection has been made and such connection and the wor�inaderrt thereto has been approved by the Gty as a
proper and suifiable conn,ection.
402.06 REPAIRS AR1D MAINTENANICE Tt3 CONNECi70N
After the initial connedion has been made to the water service curb stvp box ar the sewer fead at the property iine or a water servi�Iead Nas
been QxCended to the property line for wnnection,the applicartt,owner,or accuparrt or user af such premises shall be iiable for a11 repairs
required to any water line and sewer lines necessary for connect►or+of the premises from the main to the premises. if the pro�rty orrner
requests mairrtenance service or repeirs be performed by the�ty,the property owner shall be cf�arged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaity!ay an administrative poficy. it shail be the responsbility of the applicarrt,
owner,occupant or use�to perform standard maintenance af the sewer service iine from the premises to fihe main including debris clearing or
root cutting and to maintain the water service�urb stop box for operabifity and at such height as will ensure that it remains above the�flnished
grade of Che land or property, (Ref 638,1156,1191)