Meter Swap f
. � Request Number: 13104
Public works Division
Service Request
Problem Addreas: 1498 N Danube Rd Requested By: Teresa Koller
Department: WATER A�ddress: No a�ress provided '
Problem/�es�: INSTAL,L AMR ME1ER Phone Number: 571-6676
Sc�eduled te: 2U17-02-06 �.� Sc�ednled�me: 02:00:00
C
ACTION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-01 26
ACIION TAKEN:
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,� :
St��: In Progress ���er Iiaa Been �,
Coatacted
Dat�Completed: �, ""' �"' �� Completed by: ���
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urr�tea-�e�ar�a�a�s�nt _
5431.Univ�a�sity�,ve�a�e NE � `'` ��'
Fridley,M4V 55432
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. " 753-572-3565 � � � _� (/� �)'�'� _� !
3
� ,/�e hereby authorize#he Ciiy of Fridley andJor its empioyees to do what is necessary to
replace the water rneter. 1 understand that the grope�.y owner�s liabie for the+erater line from the main to the premise and all emerior
piumbing. {Per�ty soaie 402.06� i afso hold the�ty crf Feidley and/'rts empioyees harmless#or eny damages that may occur while sloing this
operation. This to�nclude,bufi not limrted io valves,piping,uvalts,f9aors or the curb stop fwx anc!service line. in understand 1 am aiso requlr
to obtain a perm'rt prior to aniy�erorrlcc,i#necessary.
FIIVAL METER READIAiG(uld meterj _ ` � t� �� D
Name:_ � �rl.' � F��/ � ��r' Address 1� l � � � �a�.,,�.br �y-
Phone Number— � / � '� l.fG lQ�� Date � " l..� "— � `
T
Signature Witness Signature
OtD METER# a�� �� � � �
OtD READtNG �� � I l v
NEW METER# 4 � � U �,� � 5
NEW READNVG v
ERT#�1 � � o3n �
FRtDl.EY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
(Ref Ord Pio 113,464,565,56b,629,638,662,922,988,1144,1156,1191j
402.5 PERf1A1T FEE
Prior to conmucting or repair of any water aF sewer fine conneding the existing muniapal system and arry house or buildir�g for whid�the
application is made,the owner oc corrtractor sha(f be required to obtain a p+ermit for such wnnection,and shali pay a permit f�ee as provided in
Chapter 11 ofi this Code. After such connection has been made,the Water and Sewer DepartmeM shali be notified. it shall be uniawful to cove
any connecting line until an inspection has been made and suc6 connectiort and the work inaderrt thereto has been approved by the C'rty as a
proper and suitab{e connection.
402.05 REPAIRS AND MAINTEfyqayCE TQ CONNECTION
After the initial connection has been made to the water service arb stop t�ox or the seaver lead at tl�e property iine or a waber service lead has
been extended to tt�e property line for connection,the applicarrt,owner,or accupant or user of such premises sf�al!be�iabie for�11 repairs
reqaired to any water line and sewer lines necessary for connection af the premises from the main to the premises. ff the property o�rner
requests mairrtenance senrice or repairs be perfiormed by fihe City,the property owner shaii be charged for the costs af the mairttenartce and/or
repairs,including necessary stree#�epairs at a rate set annually by an administrative policy. It shali be the responsbi[ity of the appGcant,
owner,occuparrt or user to perPorm standard mairrtenance of the sewer service line from the premises to the main includ��debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains a6ove the finfshed
grade of the land or property. (Ref 638,1156,1191j