Meter Swap R Request Number: 13456
. Public Works Division
Service Req�st
Problem Address: 5818 Hackmann A� Requested By: Ronald Vindl�d
Department: WATER Ad�e.ess; 5818 Hacl�atm Ava
Fridley,MN 55432
Problem/Lsue: INSTALL AMR METER P6one Number: 763-9I3-4535
Sc6eduled Date: 2017-02-21 Sc6eduled 1I�: 10:00:QU
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AC1iON NEEDED:
Created by: B�th Kondrick Date Cre�ted: 201?-02-14
ACIION TAI�N:
tc,/�"wY1�.�'
Status: Ix►Progress Snhmitter Has Been r,
Contacted
Dxte Completed: �� ��^ �� Completedby: \ ���
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--�--- --�_ _. _ .�
6431 llr�iv�rsity Avenue WE
Fridlsya M!M 55432 �` ���� � ,�
763-5?2-3566 � � � -� ��„ (j� � ��
`N YJ
�'''�e hereby authorize xhe�"rty af Fridley andJor its employees to do what is necessary to
,� replace ihe wrater meter. 1 vnderstand that the propea�ky owner�s iiabie for the water line from the main to the premise and a{f irnerior
�lusrebing. (Per Crty code 402.06) 1 also hotd the City�f Fridley and/'rrs employees harmless#or any damages that may�ccur while doing this
operation. 3fiis to inclucle,but not 8im�ted to vaives,piping,wa11s,floors or the curh stop box and service line. !n understand i am also reyuir
to obtain e permit prsor to any rror�c,�f necessary.
FIAiAL MEi'ER READlNG(oic(mefier} �� ����-�c1
Name: �C V�q�1 � V���1�Atidre� �U�V �atl�lti+plti,+1� .�•{i�.°.
q `-r
Phone Number ��3" l ��` � � 3] Date �� �� � y�
Signature NYitness Signature ~
OtD METER#_r�v�V Z�L
OLD READtl1iG__�/t��((t�� �1�
NfWMETER# '�gq�`� �8`�
Ai�W READIIVG �
ERT# � � � I �.Y � - (
FRIDt.EV CITY CODE
� CHAPTER 4fl2.WATER,STORM WATER AND SANITARY SEWER
AD1VIMiISfRATIQN
{Ref Ord Na 113,4f4,565,566,629,638,662,922,988,1144,1156,T191}
402.5 PERMlT FEE
Privr to constructir�g or repair of any water of s�wer line connecting the eKisting municipai system and any house or buiidir�for which the
applscation is made,the owner or oo�rtractor sfiatt be required#o ofrta+n a permit far such connection,and shali pay a permit fee as provided irr
Chapter 11 of fihis Code. After sucfi connection has been rc�acle,tbe iNater and Sewer Departmerrt shafl be natified. !t shail be un[awfui to cove
any con�ecting(ine ur�ti{an inspectiort has been made and such connectioa and the work inciderrt thereto has been approved by the Crty as a
proper and suitable connection.
402.05 REPAIRS AAiD 9UtA1N'i'EMANCE TO CONfYECTfQN
After the initial connectian h�been made#o the water service parb sto�boK or the sewer lead at fihe property line or a water service iead f�as
been exxtended to the properi.y line foc connection,the apsiicarrt,owner,or occuparn or user vf such premi�s sF�ali be{iabfe f�ai!repairs
required to any water I�ne and sewer lines necessary tur connection of#he premises firom the main to the premises. tf the property owner
requests maintenance service or repairs be pert'ormed by the City,the property owner sha{I be r�a�ged for the�of the mairtt�ance and/or
repairs,includ�ng necessary y�treet s�epairs at a rate set annuaRy by an administrative policy. R shatl be the respons�bi(ity of the applicant,
owner,occupan#or ussr to perform scandard mairtenance af the sewer service line from the premises to the main i»duding debris dearing or
root cutfiing and to mairrtain the water senrice surb stop box for ogerability and at such height as wit!ensure that�t remair�s above the$r�hed
grade of#he land or property. {Ref 638,1156,1191J