Meter Swap .
Y Request Number: 13396
Public Works Division
Service Request
Problem Address: 5601 N Danube Rd Requeated By: Dianne Mullville
Departme�: WA1ER Addreaa: No a�d�ess provid�:d
Problem/Iesne: INSTALL AMIt METER Phone Number: 763-571-1226
Schedaled Date 2017-02-22 Sc6eduled 1ime: 10:00:00
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AC'IION NEIDED:
Created by: Beth Kondrick Date Crented: 2017-02-09
ACIION TAi�N•
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St�tus: 1nProgress Sebmitter H�a Beea �
Co��ted
Date Completed: Completed by:
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5431 Univ�asit�s4ve�ea�e 4VE t� �' 1 `
Fridteyo 11r1N 55432 �
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�/'�� hereby authorize the�iiy�#Fridley andJor its emptoyees ta cto what is necessary to
' repface the water meter. 1 understand that#he propea�ky owner is liable for the+eratee line from ehe main to the premise and a{I interior
pfumbirtg. {Per Crty�ode 4U2.06) 3 also iaoid che�ty of�ridley and/'rts employees harmtess fop ar�y damages that may occur while doing this
oper�rtion. This#o�nclude,but not limi#ed+to valves,piping,waiis,ftoors or the curb stop box and service line. In understand!am aiso e�equir
to abtain a permit prsas ta any wor4c,�f necessary,
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FtNAL 41AEi'ER READfNG(old mefier) ' �'� �
Hame• � �V ^���pddress V�
Phone Number f �r ��,���L�j pate�-���v�1��
Signature �-�''"��� W�tness S�nahsre '�����u�
��D��IG i����'. � ! � �� � � � .�.-.,"'".�. . .
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OLD READ[NG t � � � ��� �
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NEW METER#� ��� � � ��
NEW READiAiG _�
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FRIDLEY CITY CQDE
CHAFTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 3.13,464;565,366,629,638,662,922,988,1144,1156,i191)
402.5 AERMIT FEE
Prior to constructing or repair of arry water af sewer line connecting the existing municipai system end arry house or bu7ding for which the
appfication is made,the owner or co+Ytraa�ctor sha(!be required to ubtain a permit for such connedion,and shaU pay a pernrit fes as provided irr
Chapter 11 af this Code. After such connection i�as been made,the Water and Sewer Departmertt shall be notified. It shap be untawfui to cove
any connecting line urrt;l an inspection has been anade and such connectian and#he wor4c inaderrt thereto has been approved by t�e Ccty as a
praper and suitable connection.
402.06 REP�41R5 ANlD 11RA{�1t1'EtMAf110E 70 CON111ECi'iON
After the in�tiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead l�as
been extended to the property fine for connection,the appiicarrt,oMrner,or atcupant or user of such premises shall be lia6le for atl sepatrs
required to any water line and sewer lines ne�essary for connection of the premises from the rnain to the premises. tF the properry owner
reqaests mairrtenance service or repairs be perEormed by the Crty,the properCy owner shall be charged for#he r.asts of the mairrtenarne andf or
repairs,including nec�ssary street repairs at a rate set annuaily by an administrative poticy. It sha0 be the responsbility of the appitcartt,
owner,occupant or user tv perform standard mairrtenance of the sewer service line fram the premises to the main including deb�is dearing or
root cutting and to mairrtain the water service r.urb stop box#w operabifity and at such height as will ensure that it rernains a6ove the finished
grade of the iand or property. (Ref 638,1156,1191j