Meter Swap Request Number: 13687
Public Works Division
Service Request
i Haclanann Ave Requested By: Nathan Carlson
lER Address: No address provided
�TALL AMR ME1ER Phone Number: 763-572-0736
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Sched—Tu eaDa�:- ---__ i7-03-03 Schednled 1lme:
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-02-27
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Sts�tua: In Progress S�bmitter Hss Been r..,
Co�acted
Date Com�►leted: Completed by:
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64��i9niv�ssity Ar�e�a�e�V�
�rac!ley,M�! 5546�2
7S3-S72-�5��
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�,�°� hcre6y authorize the�tity�f Fridley andjoR its empioyees to do what ds necessary
regalace the ara$er rneter. 1�nderstand t�at�he propea�ty owner is liabie foc the water line from the main to$fie prem"sse and a{i 6mterior
pleernbing. �Per Crty sode�02.06� 1 alsv hold the C�of�eidley andfits employees har'mless#or eny�lamages that may occur rrhile doing th
oper�tion. This to 9nclude,but no#limited to valves,pipin�wails,floors or the curb stop box ancl service line. In understand 1 am also req+
to af�tain a perrnit prior Co arry zvork,�f necessary.
F![qNNAI.NIETER READING�old meter �� � O
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Address
Phone Number p� t •—•
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Signature �/ W�tness Signature_ ��', �,
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FRIDLEY Cil'Y CQDE
CHAPTER 402.WATER,STORM WATER AND SAN17AttY SEWER
ADMI4YIS7'RATION
�Ref Ord No 113,464y�65,566,629,638,662,922,9$8,1144,i156,I191)
4tl2.5 PERMR FEE
Prior to constructing or repair o#any water oF server tine conaect"sng the existing muniapai system and arry hause os buiidir�for which#fie
applica�tion is made,the owner or corrtractor shall!�e required to obtain a permit for such connection,and shali pay a permiT fee as proyided;
Chapter 11 af#h�s Code. After such connection has i�een made,the Water and Sewer Departmerrt shall be not�f'+ed. it shai!be untawful tn crn
any connecting line until an inspection has been made and such wnnection and#he wor�c inciderrt thereto has 6een approved by the Gty as a
proper and suitable connection.
402.06 REPAlRS A4rID!1►TAINTEAIANCE TO CONNECTIQNN
Afte�the initiat connectiort has been made to the iaater service aarb stop boK or the sewer lead at the property i�ne or a water service lead ha
been extended to the property line for connection,the appiicant,owner,or occupartt or user of wch premises shatl be 11aMe{or ail repairs
required�o arry water line and sewer lines necessary#or connediv�of the premises from the main fio the premis�s. tF the property ownier
requests mair�#enance senrice or repairs be perFormed by the C'ity,the property owner shatl be charged for the costs of the mairttenar�e and/�
repairs,inciuding necessary street repairs at a rate set annually by an administr�ative poiiry. It shall be the responsibitity of the applicarr�,
owner,uceupar�#or user to�rFornn standard mairrtenance of the sewer service line from the premises to#he main�nctuding debris dearing or
root cutting and to enairrtain#he water service r,.urb stop box for operability and afi such height as wiil ensure that it remains abmre the finistaec
grade aF#he land or property. {Ref 638,1156,1191)