Meter Swap e
' Request Number: 13418
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Service Request
Problem Address: 5889 Hack�nann Ave Requested By: J�t Roggenb�uck
Department: WA1ER Addres:: No address provided
Pro�em/Issue: INSTALL AMR ME1ER Phone Namber: 763-571-7310
Scheduled Dxte: 2017-02-17 Schednled 1lme: 11:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Dite Created: 2017-02-10
ACTION TAI�N:
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Stxt�: � In Progess Submitter Haa Been r, �
Contacted
Date Completed: Completed by:
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6431 l9nBvee-sitg�a�lven�ae 9�E � � `'7� �
fridley, MN 55432 �7� �.
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��'A0� hereby authorize the�'rty uE�ridley and/or its empioyees to do what es necessary to
repface#he water rneter. 1�understand that the property owner 6s liable fos the water line#rom the main to the premise and aii interior
piurrsbing. �Per Crty cocie 4Q2.06� i also hold the C'�erf Fridiey and/'rts employees harmless for aKry damages tt►at may occur Mrhile doing ti�is
operation. This to incfude,but not Bim'rted io valves,piping,walls,floors or the curb stop box ancl service line. !n understand!am also requi�
to abtain a permit prior to arry verorfc,if necessary.
11 -1. Z, S�'d
FIAtAL METER READfNG(o!d meterJ
Name: �1 C�, Address� ()7�-\ bC��L���N/lC,t�1�, �
Phone Afumber��j����^ c!1l) Date � ��.- `�
Sigrtature ��\ Witness Signafasre
oin n�Er�R# �J�02 �� � �2
OLD READlNG � � � �S ` �
NEW METER# M� ''`" � ���
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FRiDLEY C1TY CODE
CHAP?ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
�Ref Ord 61fo 113,4&4,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and arry house oc buiidit�for which the
applicafiion is made,the owner or coMractor shall be required to obtain a permit for such connection,and shali pay a permii fee as provided in�
Chapter 11 of this Code. After such connection has been rnade,fihe Water and Sewer Departmerifi shall be rt�ed. It shatl!x untavvfu{to cove
any connecting line uMil an inspection has been anade and such connection and#he work inciderct thereto has been approved by the C'rty�a
proper and suitabie conneckiore.
402.06 REFAIRS AND 1NAINTENANCE T�CONNEC770N
After the initial connection fias been made to the water service curb stop box or the sewer lead at fihe property iine or a water service lead has
been extended#o the property fine for connection,the applicant,owner,or occuparrt or user of such premises sf�at!be liabie fvr atl repairs �
required to any water line and sewer lines necessary for connectian of the premises from the main to the premises. if the property orrner
reques#s mairrtenance senrice or repairs be performed by the C'ity,the prope►-1,y owner shall be charged for#he casts of the mair�tenance and/or
repairs,inciuding necessary street repairs at a rate set annual(y by an administrative poliry. It shali be the responsibility of the applicarrC,
owner,occupant or user to perForm standard mairrtenance of tfie sewer service line irom the prem+ses to the main inciuding debris dearing or
root cutting and to mair�tain the water service r,urb sfiop box for operability and at such height as will ensure that it remains above the finished
grade of#he land or property. (Ref 638,1156,1191)