Meter Swap `t.
� Request Number: 13473
Public Works Division
Service Request
Problem Addresa: 5802 H�lanann Avie Requested By: Verden Keeler
Department: WA1ER �.�s: 5802 Haclm�am►A�e
Fridtoy,MN 55432
Problem/7ssue: INSTALL AMR METER Plrone Number: 763-574-9797
Scheduled Date: 2017-03-11 Schcdeled 1lme: 10:30:00
�'' l(�;
AC'IION NEEDED:
Created by: Beth Kondrick Date Crested: 2017-02-i4
ACIION TAI�Nc
Status: In Progess ���er Has Bcen r,
Coutacted
Dste Completed: Compteted by:
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------ --�- _.o._.._
5431 llneversity a4ve�,ue P!�
Fridley,MN 55432
1 753-572-3565
i
fi '/'u� her�by authorize the C'�ty afi'1Fridley and/or its employees to slo what is necessaep to
replace the water rneter. 1 understand that#he proper�ty owner is iiabte for the watee line from the main to the premise and aU interior
plunabing. {Per City code 402.06) i also hold the C'rty of Fcidley andJ"its employees harmless#or any siamages that may occur while doing this
oper,atian. This to�ncfude,but not lim's#ed to valves,piping,wafis,floors or the curb stop b�ox and service line. On understand I am also requir
io obtain a permit prior to arry rvorlc,�f ctecessary. , 1� / ���1
�,�_ �.�. ,o
FIlYAL METER READIWG(oid meter)
�2�� ��� sa � 2a3�
Name: V�� K/�/I� �kldress ���2 �(�/�' l��t.v �'�/`(/
Phone Numl�er,���=���� �7�� �'I j-���
Date ,
Si;nature Nli�d�ess Signature `Y�
OLD METER#_�Cv U� �2 � �
OLD READING �222���
NEW MECER�I
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N�w REaatwt�- 48906950
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�RT#_ IIIIIIIIIIIIIIIIIIIIII E �
11 71816843
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADM11111STRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191]
4Q2.5 DERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house�building for whsc�the
appiication is made,the owner or corrtractor shal!be required to obtain a permit for such con�ection,and shall pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartmert shat4 be notified. it shai{be uniaarFul to cove
aoy tonnecting line until an inspection has 6een made and such connection and the wor6c inadeM thereto has peen approved by the CFty as a
proper and switable connection.
�02.06 REPAlRS AND MAIDYTENANCE T�CONNECfION
After the initiat connecfiio�has been made to the water service wrb stop bou or the sewer kad at the property line or a water�Iead has
been extended to the properly line for connection,the applicarrt,ow�er,or accupant or user of such premises shatt be lial�e for a1��,epairs
required to any water I�ne and sewer lines necessary for wnnection of the premises from the main to the premises. tf the property orrrner
requests mairrtenance service or repairs be performed by the C'rty,the property owner shali be charged for the�of ffie m�lMenanoe and/o�
repairs,includin��ecessary street repairs at a rate set annuaily by a�administrative poliry. ft shafl be the respar�sbility of the applicarit,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to mair�tain�the water service curb stop box for operability and at such height as will ensure that it remair�above the finished
grade of#he land or property. (Ref 638,1156,1191)