Meter Swap � Request Number: 13579
Public works Division
Service Request
Problem Address: 6060 Stinson Blvd Requested By: Mark
Departme�: WATER ,�dr�as: 6060 Stinson Blwd
Fridtey,MN 55432
Problem/Issue: INSTALL AMR ME'IER Phone Number: 612-802-06�8
ScheduledDate: 201�-0 -27 Schednled'ilme: 11:30:Q0
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ACTION NEIDED:
Created by: Beth Kondrick Date Cre�e�: 2017-02-21
AC'llQl�Ti4i�N:
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Status: In Progress ���er Has Bece r,
Contacted
Date Completed: Completed by:
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�431 dlnaversity/��r��s�ae�J� �
Frsell��,!1rl4� 5�432
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. �'/'A°e hereby authorize the�'rty uf Fridley andJor its employees to c!o what is necessaey 4
replace the wafier rneter. t vnderstand that the�rogea�ty oarner 35 tiable foc#he mvater line from the main to the premise and ail interior
plurrrlsing. {Per CPty code 402.06� 3 adso�hoPd the City�f�sidtey andf'rts empiaqees harmless#or eny damages that may occur while sloing thi
oper,ation. T9ais#o incfude,but not Bimited io valves,p�ping,watts,flqors or t{�e r.urb stoP i�ox and senrice 1ine. fn a�nderstand I am also requ
to otatain a permit prior to any ierorlc,if�ecessary.
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Signature Nt�tness Sigr�a#ure
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FRIDLEY CiTY C13DE
CHAP�'ER 402.WA7'E1t,SfORM WATER AND SANITARY SEYVER
ADMt9U15TRAT10N
�itef Ord No Z1.3,464,565,566s 629,638,562,922,98&,11�d,1156,1191�
R�Q2.5 PERMtT FEE
Prior to construcCing ar repair of any wa�ter of setver�ine cannectjng the existing muniapal system and arry F�ouse or building for which the
applicativn is made,the owner or corrtractor shall fae required to obtain a�ermiC#or such connection,and shall pay a permit fee as provided ii
Chapter 11 of this Code. After suci�connection has i�een made,the Water and Sewer Departmerrt shall be notified. tt shall be untawful to cov
any connecting tine until an irupectivn has been snade and such connection and the wor(c inciderrt thereto has been approved by#he City as a
proper and suitabte connection.
402.06 REP�4lRS AR[D MAlf�i'1'E{ypyCE 70 CONHECTION
Afiter the inifiial connection fias been made to the water service curb stop box or fihe sewer lead at the property iine or a water senrice iead#�as
been exfiended to�tltie property fine for connection,the appiicarn,owner,or accuparrt or user of such premises shali be liabte for ail repatrs
s�equired to any wa#er fine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
request�s maintenance service or repairs be performed by the C'rty,the property owner shaii be charged for the m�s�ts af ihe mai�rtenance and/o
repasrs,includ'ssag neces�ary sfireet�epairs at a rate set annualiy by an administra#ive poiicy. It shall be the responsibitity uf the applicant,
owner,occupant or user Lo perform standarc[anaintenance of the sewes service line from the premises to the main tr�cdud'Mg debris dearing or
raot tutfiing and to mairrtain the water service+curb stop box for operability and at such height as wiil ensure that it semaitu above the ftnished
gsade of the land or p�operty. (Ref 638,1156,1191j