Meter Swap 4 Request Number: 13373
r
Public works Division
Service Request
Problem Address: 5899 Hac�nann Ave Requested By: Terry Xiong
Departmeut: WA'IER Addreas: 5899Hac1moa�mAve
Fridley,MN 55433
Problero/Issae: INSTALL AMR ME'IER Phone Numbers 612-423-9550
Sc6eduled Date: 2017-02-13 Scheduled Tlme: 07:00:00
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ACIION NEEDED:
Created by: Beth Ko�ick Date Crt�ed: 2017-02-OS
ACIION TAKCN:
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Status: In Progress Snbmitter Haa Been r,
Contacted
Date Completed: Completed by:
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...:.+.... +vcNae s.oHe�C�1� � � � � �
5431 iDniv��sity l�ver,a�e 6V� �
Frad(eyg MN 55432
763-572-3566 `��J �;�u - C; �.
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�/?"�` her�by authorize#he��ty�#Frid(ey andjor its emp(oyees to slo wt�at is necessary to
f replace the water meter. 1 understand that the propea�ty owner as liabie for#he water line#rom the main to the premise and all interior
plumbing. (Per City cosle 402.06j i also�old the�ty of Fridiey and�ts employees harmless for any damages that may occur while doing this
operation. This to 9nstude,but not limited to valves,p7ping,walls,floors or the cc+rb stop box�rn!service line. In understand!am alsa requir
to obtain a permifi pr9or ta any wor[c,if necessary,
FPAtAL METER READING(old meterj ' � t � C/�
Name:��/Y��'�•� f���Y� Address��� h, �`e.
Phone�iumber� � (� Y"� "`5�, p�, �— `�` `'�
w— �i
Sigrtature Wit�ess Signature
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OLD R£�1DtNG � �' b v` � w
N�w Mer�R� `� �°�C� �$5S
N�W READlNG�.J
ERT# � � � � � � �V� '
�RIDtEY CiT!CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN IS�RATION
(Ref Ord No 113,454,565,566,629,638,562,922,9$8,1144,i155,i191]
402.5 PERMIT FEE
Prior to constructing ar repair of any water of sewe�line connecting the existing municipal system and arry hause or buitdir�for which#�e
appiication is made,the owner or corrtractor shat(be required to obtain a permit for such connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. Aft@r such cvnnection has been made,the Wate�and Sewer Departmerrt shall be no#ified. it shail be untawFul to cove
any connecting(ine until an inspection has been rnade and such connection and the work inaderrt thereto has been approved by the C'rty as a
proper and suitable connection.
402.Q6 REPAtRS AIIfD MAINTEtYANCE TO CONNECTIORf
After the initiat connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service Iead has
been extended#o the property fine fo�connection,the applicarrt,owner,or occuparrt or user aF such premises shatt be ItaWe for a((repairs
reqaired to any water line and sewer lines necessary for conrtection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be perFormed by the C'ity,the property owner shall be charged for the sosts of the mairrtenance and/or
repairs,incfuding necessary street repairs at a rate set annuatfy by an administrative pofiry. It sFwti be the responsibility of t6e appiicarrt,
owner,occuparrt or user to perform sfiandard mairrtenance of the sewer senrice line from the premises to the main anciuding debris dearing or
root cutting and to mairifiain the water service curh stog box for operability and at such height as wiil ensure that tt remains abave the fin�shsd
grade of the lartd or property. (Ref 638,1156,IY91)