Meter Swap . Request Number: 13519
Public Works Division
Service Request
Problem Address: 5854 Stinson Bl�d Requested By: Jeff 51mre
DepArtmeut: WA1ER Addreas: 5854 Stinson Blvd
Fridley,MN 55432
Probleto/Issue: INSTALL AMR ME1IIt Phone Number; 763-574-0305
Scheduled te• 2017-02-22 ^r SchedHled Tlme: I1:00:00
2 z I ,ti.
ACITON NEEDED:
Created by: Beth Kondeick Date Created: 2017-02-16
AC7ION TAKEN:
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Status: In Progcss Snbmittcr Hac Been r,
Contacted
DateCompleted: �.-��� t�] Completedby: \�� p ,
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Fridley,N6�! 554�2 � �� //�
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(,'A°� herehy authorize#he�i�y�#�rrdley andror its ernpioyees to clo wl�at is necessaey 4
' re�alece#he water rneter. 1 vnderstand tha#fihe properky owner 6s iiable for the water line from the main to the premise and all irrterior
�lurra6sing. (Per Cr"ty cosle 402.06j 1 also hold the C'rty oF Fridley andJ'rts employees harmtess for any�lamages that may occur white doing thi
o�seraYion. This#o incfude,but r�ot Iirr�lted to vahres,piping,wa((s,floors or the curh stop hox and service�is�e. 9n a�nderstand i am alsa requ
to ob#ain a perm'rt prio�r fio any wor4c,if necessaey.
F9tYAt�IAETER READING(old meterj ��'y"' �� �,V
Name: J e� �r1Q Q" °� �ddress _ ��7� c��ki�Y�► ,� -
Phone�{umber ``+�'� Y y�-1 � �d V r Date�¢' d`'�-�' 1� ,
Signature Witness Signature �'�
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FRIDLEY CiTY CfJDE
CHAP�'ER 402.WATER,560RM WATEIi AND SANITARY SEl�/ER
ADMI4U15TRATIOSY
�R�f Ord No 113,�64,565,36G,629,638,66Z,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to r,onstructing or repair of ar�y water of sewer tine con�ect;ng the e�dsting muniapaf system and arry house or buitdirig for wl�ich the
applTcation is made,the owner or contsactor sbai�be required to obtain a permit for such connection,and shall pay a permit fee as providec{;i
Chapter 11 of this Gsde. After such connection has been made,tiie Water and Sewer Departmes�t shall i�e notified. tt sfia(i be un(awfv!to cov
any connecting Gne until an inspection has been made and such connection and the wor�c inaderrt thereto has been appraved by the C�ty as a
proper and suitable connection.
402.06 REPAiRS qptD Mq�N7EfypNCE TQ CONNECT[aol
After the initTa(connettiort has been made to the water servTce arb stop box or the sewer lead at fihe prvperty line or a waker service lead has
been extended to the property line for connectian,t(�e ap�ticasrt,owner,or accuparrt or user af such premises sHap be iiaMe for ail repairs
required to any water line and sewer liaes necessary for connection of the premises from Lhe main to the�remtses. tf the property owner
requests maintenance service or nepairs be perfiormed by the City,the�roperty ownes shafl be charged for the casts of the ma�rrtenance and/a
repairs,inciuding necessary street repairs at a rate set annuaity by an administrative palicy. it shail be the responsibil'ity/of the applicaitt,
owner,occupant or user to perform standard ma+rrtenance of the sewer service iine from the premises to the main drtdu�ng debrts dea�ng or
roofi cutCing and to ma�ntain the water service curb stop box for operability and afi su+ch he�ght as eriii ensure that�t remaicis above the finished
grade trFthe iand or prvperty. �Ref 638,1156,1191j