Meter Swap ' Request Number: 13499
Public Works Division
Service Request
Problem Address: 5951 Oakwvod Manor Requested By: Jar►Benson
Dep:rtmc�• WA1ER ,��.eSt: 5931 Oalcvwod M�r
Fridtcy,MN 55432
Problero/Issue: INSTAL,L AMR METER P�oee Nambers 612-801-9110
Sc�ed�ed 2017-02-24 Scheduled'11me: 01:30:00
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� ACiION NEEDED:
CreAt�d by: Beth I�on�ick Date Created: 2017-Q2-15
ACIION TAI�EN:
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Status: In Progress Submitter Has Been �,
Contacted
DAte Completed: 1 ,,,�1�,� '� Completed by:��`- �
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s�:
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5431 iJni�r�rsit'e Avenase Pl� �
IFriciley,MN 55432 � '
763-572-3565
• ��'"�p hereby authorize the�'rLy af Fridley and/or its empioyees o do ovhat is necessary 40
re�late#he wafier�neter. 9 understand that fihe properiy owner'ss liabie tor the water line from Yhe main to the premise and all isrterior
plumbing. (Per Crty sode 4A2A5} i a(so hold tbe Crty af Fridley and/'rts employees harmtess#oc any slamages that may o�cur rrhife doing this
opera4ion. This to incfude,but not Iwmited+to walves,piging,watis,#loors or the curb skop box and service line. In understand 1 am also requir
to obtain a permit prior to any�rorlc,if a�ecessary.
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F1NA1 METER READtNG(o4d meterj _ � � �� �(� �
Name:�A�_ k/�i'�ty't^ Address �/�! �►''w�.Y�J�
Phone Atumber�li" ��`� `(/� � Date _ _ UL�~ ��` y�
r'-�`
Signature Witness Signature
o�D��-�R#� � 8 �� 22
OtD READiNG�D(,��3O
11iEW METER# _- i� {��/ f D V
NEW REQDiNG �
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FRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATfON
tRef Ord No 113,464,565,565,629,638,t62,922,988,i144,1156,1191}
402.5 PfRMiT FEE
Priar to constcucting vr repair of ar�y water af sewer line wnnecting the existing munidpet system and arry fiause or buiWir�fo�which the
application is made,the aarner or corrtracto�shait be required to abtain a permit for such connection,and shalt pay a permit fee as provided in•
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Department shali be notit'ied. It shaii be uniawfui to co�
arry cannecCing line until an inspection has been made and such connection and the work inaderrt thereto has been approved by the Crry as a
proper and witable connection.
402.06 REPAiRS AND MAIPITEIYQNCE TO CONNECI'tON
After the initial connection has been made to the urater servic�curb stop box or the sewer lead at the pmperty IYne or a water service lead has
been exCended#o fihe property tioe for connectian,the appiicarrt,owner,or accuparrt or user af such premises s6a(t be tiabie for a!i repairs
required ta any water line and.sewer lines necessary for connection of the premises from the main to the premises. if the property orrner
reques#s main#enance senrice or repairs be perFormed by the City,the property oarner shall be charged for the costs of the mai�rteciar�ce arad/or
repairs,inciudirtg necessary street repairs afi a rate set annuaily by an administrative policy. Ft shatl be the sesponsibil'�ty of t(�e apprcarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer service l�ne from the premises to the ma(n induding debris dearing or
root cutting and to maintaia the water service curb stop box for operabil'rty and at such height as wili ensure fihat it remiais�s above the finished
grade af the land or property. (Ref 638,1156,1191)