Meter Swap . Request Number: 13124
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Public works Division
Service Request
Problem.A,ddress: 1425 N Innsbr�k Dr Requested By: Marilyn
Department: WATER Address: 1425 N I�br�ck Dr
Fridley,MN 55432
Proble�Msane: INSTAI.L AMR METER Phone Number: 763-574-0878
Sched�iled Date: 2017-01-31 Sc6edeled'ilme: 10:30:00
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ACTION NEEDEll:Iastall AMR
Crexted by: Beth Kondrick Date Created: 2017-01-27
ACTTON TAi�Nr
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St�ns: In Progress Submitter Has Beea r,
Cout�ted
Date Completed: Completed by:
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trva�ea-��ar�a�aent
5�31 ilniv�a-sii�Avenue AlE
F���i�e�,nn� s54�2 •-�'1 — �/�C�3Sv '��
7�3-57'2-3566 � , �
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j9��� hereby authorize Yhe Ciiy af Fridley andjor its emptoyees to cio what is necessary to
' replace#he wafisr s�neter. 1 understand that�he propea�ty owner u liable for the+aater line from the main to 4he premise and all interior
piurrabing. (per�ty code 402.06j 1 also�told the�t�/�f�ridiey andrts employees harmiess for eny damages t(�at may occur While doing tE►is
operation. This to inc(ude,tiufi not lim'rted+to valves,piping,wails,floors or the curb stop box and service licse, in understand 1 am aiso requir
to obtain a permit priar to any�rorbc,+f necessary.
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Name: � pd�
Phone�tumbes.��'S�r t�S� Date ,��J���
Signature-- Witness Signature
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FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADR111NISTRATION
{Ref Qrsi Aio 213,4�54,565,566,6�9,638,662,922,988,1144,I156,1T91j
�02.5 AERMi7 FEE
Prior to constructing or s�e�pair of any water of sewer line connectsng the existing muniapal spstem and arry house oc buiidiag for which the
application is made,the owner or corrtractor shati be required to abtain a permit for such connection,and shaD pay a permit fee as provided in
Chapter 11 ofi this Code. After such connection has been made,the Water and Sewer Department shall be notified. tt shali be un(awfut to cflve
arry connecting line until an irsspection has been made and such connection and the wor8c inciderrt theretv has been appraved by the Gty as a
proper and suitable connection.
4�02.05 REPAtRS AND MAINTEWANCE Ta COMIYECTI�N
After CF�e in'rtia!connection has been made to the water service curb stop hox or the sew�r lead at the property line or a rrater servi�e lead has
been extended#o the property I�ne for cannecfiion,the appiirarrt,oarner,or accupant or user of such prem+ses sha{{be liable for aii repairs
required to any water Iine and sewer lines necessary fo�cannedion of ti�e premises from the main to the premises. tf the property owner
requesCs mairrtenance sesvice or repairs be performed by the Crty,the proper�.y owner shaU he charged for#he costs af fihe mairrtertance and/or
repairs,inc{uding necessary street repairs at a rate set anauaily by an administrative policy. It shal!be khe responsbitity of the a�car�t,
owner,occuparrt or user to perform standard mairrtenance af the sewer service line from the premises ta the main anclt�dirrg debris dearing or
roat cutfiing and to mairrtain the water service curb sCop box#or operability and at such height as wili ensure#hat it remains above the finisFted
grade of The land or property. {Ref 638,1156,1191J