Meter Swap �
,: ,� Request Number: 13135
Public Works Division
Service Req�st
Problem Address: 1400 N Innsbruck Dr Requested By: David Femer
Department: WATER Addresa: No�ress provided
Problem/7ssue: INSTALL AMR ME1ER Phone Number: 763-574-9138
Scheduled Date: Oi -02- 2 Sc duled 1lme: 08:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cres�ed: 2017-Oi-27
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Status: In Progress Sabmitter Hac Been �,
Contacted
Date Completed: Completed by:
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6431 dJniversdty�Aver,a�e NE
Fridley,MP! 55432 ��� .�� �
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V `/11fe hereby authorize#he Ciiy o#Pridley andror its employees to do what is necessary to
replace the water rneter. �unclerstand tt�at the property owner u Iiable far fihe water line from the main to the premise and all irrterior
plumbing. (Per Crty coeie 402.06� i a(so hold the�'rty�f Fridiey and�ts employees harmless#or eny damages that may occur tirhile doing this
operation. This to 9nclude,bufi not Bimited to valves,piping,walis,f4s�ors or the curb stop box and service line. i�understand I am also requir
to obtain a permit prior to aroy worlc,i#a�ecessary.
FIAIAL MEfER READING(ok(meter)
Narris: �i1i� '�"��'� Address ( I lJ lJ � �'`, ) b w C._f^
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Phone Number_ p� 2. ?j �
Signature N/�tness Sigrtature �----°��'"'—�W
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FRIDI�Y CIT�I CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADMINiSTRATION
{Ref Ord Mo 113,464,565,�66,6Z9,638,662,922,988,1144,I156,1191)
�02.5 PERMIT FEE
Prior to constructing or repair of am/water of sewer tine connecting#he existing muniapal system and arry hause or Rwiidir�g for which the
apptication is made,the owner or corrtractor shati be required to obtain a permit for such connection,and sfialf pay a permit fee as provided ie
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmern shal!be not�ed. tt sfiail be untawfui to cove
any connecting line ur�tii an inspection has 6een made and such connection and the worlc inciderrt thereto has been appro�red by the Crty as a
proper and suitabie connection.
402.05 REPAIRS AND MAINTEfyqNCE TO COMNECTION
After the initia!connection has been made to the water service curb stop box or the sewer lead at it�properfiy iine or a water�nrice lead has'�
been eztended to the property line for connection,the applicarrt,owner,or accuparrt or user af wch premises shall be itabie for all repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shaU be charged for#he costs af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually!�an administrative po(icy. It shall be the responsibility af the agpiicant,
owner,occupant or user to perform standard maimenance af the sewer service line from fihe premises Co the main including debris dearing or
roofi cutting and to maintain the water service curb stop box for operability and at such height as wiit ensure that it remains above the finished
grade aF the land or property. (Ref 638,1156,1191j
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