Meter Swap , Request Number: 13069
� Public works Division
Service Request
Problem Address: 1480 N Danube Rd Requested By: Julie Osborne
Departme�: WATER At�resa: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-951-Z'729
Schednled Daete: 2017-01-26 Sc�ednled 1lme: . -
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AC IION NEEDED:
Created by: Wendy Hiatt Ibte Cre�ed: 2017-01 25
A4'IION TAI�N:
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Status: In Progress Snbmitter Has Been �.,
CoMacted
Date Completed: Completed by:
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tiila�e��e�arter�erat �' ,� '7 � �
6431 lOnivea-sityr Avenue N� � �'3 � �
FridlQya MN 554�2 �c,_�y� v�—
T53-572-3566 ��� r c3�
i/we here6y authorize the Ciiy vf Fridley and/or Rs employees to do what is necessary to
, replace che wafier meter. 1 understend that�he property ownee is iiable for the water line#rom the main to the premtse and a{{istiterior
plumbing. {Per Crty code 402.06j 1 also hold the City of Fridley and�ts employees harm4ess for arry damages that may occur while doing this
operation. This to include,but not Bimt#ed to vatves,piping,walis,floors or Lhe curb stop box and service line. In understand d am also require�
to obtain a permit prior to arry�ror4c,if aecessary.
FINAL METER READtNG(ai eter) �..�/ � � � � � �
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Name:C,�, �i'�— � �Address � �� � �Cil�l�,\� I L_ �
Phone Numher_/la� L tJ 1'2�2 \ p� �'� ��` �,�
Signature W�tness Signature
OtD MET�R#—\ ��� �"T ���
OLD R�ADtNG_� eV�� �, � �
NEW METER# 1�� 1���j�-1 Z,
NEW READIAiG�C�
fRT#_�Q�'V � ` t V3
�RIDLEY C1TY CODE
CHAPTER 402.WATER,SfORM WATER AND SANRARY SEWER
ADM111i1STRATION
(Ref Ord No 113,Q64,565,566,629,638,562,922,988,1144,1156,1191j
402.5 PERMIT PEE
Prior to construcCing or repair of any wafier of sewer line conoecting the euisting municipal system and arry hause or buiiding for which the
appiication is made,the owner or cor�tractor sha((be required to obtain a permit for such connection,and shall pay a permit fee as provided in�
Cha�rter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shaii be natified. it shail be unlawfui to cover
any con�ecting line uM3l an i►tspection has 6een made and such connection and the work inciderrt thereto has been approved by the City as a
praper and suitabte connection.
402.06 REPAIRS AND MAINTENANCE TO COMNECTtON
After the initia!connection has been made to the water seroice curb stop boK or the sewer lead at the property line or a water sEnrice iead has
been extended to the property line for connec#ion,the appiicarrt,awner,or occupar�t or user aF such premises shati be iiaWe for all repairs
required to any water line and sewer l'snes necessary for connection of the premises from the main to the premises. 1f#he yxoperty ovrner
requests mairrtenance service or repairs be perfarmed by the City,the pcoperty owner shall be charged for the costs of the mainterrance and(ar
repairs,including necessary street repairs at a rate set annuaily by an administrative policy, It shatl be the responsibility of the applicar�t,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premises to the main dnciuding debris dearing or
root cutting and to mairrtain#he water service curb stop box for operability and at such height as wiil ensure Chat fit remair�s above the finished
grade af the{and or property. (Ref 638,1156,1191j