Meter Swap R Request Number: 13686
Public Works Division
Service Request
Problem Address: 6240 Rice Creek Dr Requested By: Paula Baron
Deputment: WATER Addre:s: No addreas provided
Problem/Is:�: INSTALL AMR ME'IER Phone Number: 763-438-3081
Scheduled �: 2017-03-10 Sciceduled 11me: 01:OO:Of1
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ACTION NEEDED:
Created by: Beth Ko�rick Date Created: 201?-02-27
ACIION TAI�N:
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��: �� 3S Sabmitter Hns Been �,
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Ds►te Com�eted: �,�, �v �. l�'7 Completed by: t `, ,�
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� �/�� her�6y authorize'the�fiy af Fridley andJor its emptoyees to slo ovhat as necessary t
regslace the water�neter. f�nderstand fii�a#the property owner u iiable for ttte�erater line from the main to the premise and alt infierior
plurrsbing. �P�r City sode 402.06� i also hold the City aF�ridley�nd/'rts em�Oloyees harmiess#or any slamages titat may occur white sloir�g thi
operation. This to�nclude,but not 9im6#ed to vaives,piping,wa0s,flooPs or the s:urb stop box and service iine. In understand 9 am also requ
to obtairo a permit pr�o�r to any ieror4c,if necessary.
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FINAl.METER READING(o!d meter) � I � �� �v � � �Z 1
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Phone Num6e� �Y/3� 4����Q CJ� �� 3'— �(j '--' `�
Signature Nl�iness Signatvre
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FRIDLEY�1'6'Y CODE
CHAPT'Et�4[�ff2.WATER,STORM WA�Et�AWD SANITARY SEWER
ADMIiHISTRATSCI9ot
tRef Ord RIv 133,464,�65,365,529,538,662,922,988,1144,1155,I191j
402.5 PERN11i'FEE
Prior to constructing ar repair of ar+y water of sewer iine connecting the existing rnunicipaf system and arry f�au�or building fior wh�c�the
appiication is made,the owner or cornractor shai(be required to obtain a permifi for such connection,and shail pag a permit fee as provided'n
Chapter 11 of ihis Code. After such connection has been made,the Water and Sewer Departmertt sha0 be notified. It shail be un(awful M c.ov
any connecting Gne unti�an inspection has been made and such wnnection and the wor6r inaderrt therefio has been apprrnred by the Ciiy as a
proper and suitable connection.
402.06 REPAIRS AND MAi1YTENANCE T�COAIAIEC770N
Atter the inft71a1 connecfiion has 6een made to#he water service aarb stop box or the sewer lead at the propert�iine or a water�nrice lead tias
been extended#o the property fine for connertian,the appiicarrt,owner,or accupant or user of such premises sFraJl be liable for all repairs
fequired to any wa#er line and sewer lsnes ne�essary for connection aF fihe premises from Lhe main to the premises. tf the properly owner
requesis mairrtenance service or repairs be perFormed 6y the C'it1t,the property owner shaft be charged for the�osts vf ihe mai�tenance and/o
repairs,including necessary slreet repairs at a rate set annualty by an administs�akive policy. It sfiatl be the responsiBitity of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main ancluding debris dearing or
root cufiting and to mairrtain the water service curb sfiop box fo�operabili#y and at such 6eight as wili ensure that it remains a6ave the ftnished
grade af the land or property. {Ref 638,1156,1191)