Meter Swap � Request Number: 13400
Public works Division
� � Service Request
Problem Address: 1406 W Danube Rd Requested By: Alex Gonsal�s
Department: WA1ER Address: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-574-0435
5chednlee!Dnte: 2017-02-23 5c6ednled TIe�: 10:00:00
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ACIION NEEDED:
Created by: Beth Ko�ick D�te Cre�ed: 2017-02-09
ACIION TAI�N•
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Status: In Progress ��her Hu Been r, :
Cout�cted
Date Completed: � --�a,�.� }� Com eted
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Honrs � G�,
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6431 ilnives�sity Ave�ue N� /�
Fridleya MN 554�2 /�0 �0� �
753-572-3565 �1 '� �
- ' �1'"�� hereby authorize#he C'ny af Fridley and(oc its empioyees to slo what�is necessary ta
-� replace the water meter. t vnderstand ihat�he propee�ty nwner is liabie for the avater line#rom the maia to the premise and all interiar
plurrrbing. {Per City code 4p2,06$ i also hold the City�f Fridley andJ'rts employees harmless#or eny damages tbat may occur while tloing this
oper,ation. This to include,but not lim�ted to valves,pip�ng,wafis,floors or the curb stop box and service 1ine. fn understand I am also requir
to obtain a perm'rt prior to any worlc,�f necessary.
�� 3 - '� � `709 � - ai
fiNAL METER READlAiG(old mefierj ��
Name:_��'�'G V CJ H��L'v`e--`� Address__ � W�.Y "`�' • '�crnn.w�D'L �..� .
Phone Number ���`s�� `" �-d3� Date �''�'�J"`��
Signatare Wi�tnness Signature �-
OLD METER#_O`�� �� �� �J V
OLD RfADHNG, �� � �v"
� `�U°I U �7 t�j `��
NEW METER#
NEW READIAIG` �
ERT# � 1� � �
FR1DlEY C1Tf Cf1DE
- CH�IPTER 4U2.WATER,S70RNf WATER AND SANRAfdY SEWER
ADMlfH ISTRATiON
tRef Ofd NO 113�4164�565�366r 624�538�662�922f 988�1144,1156,1191)
402.5 PERMiT FEE
Prior to consts�ucting or repair of anY water of sewer{ir�e cannecting the eKisting municipat system and arry house or buiidir�for which the
application is made,the owner or corrtractor shall be required tv obtain a permit#or sucl�connection,and shall pay a permit fee�provided irr
Chapter 11 af this Cude. After wch connection has been made,Che Water and Sewer Departmertt shail be notified. it shail be untawFui ta cove
arry cvnnecting(ine unti!an irrspection has been anade and such connection and the wos�Cc+nciderrt thereto has been appe+oved by the C'�ty as a
proper and switable connection.
402.06 REPAIRS ANp 9y1A{AiTEf11AAiCE TO CONNECCt011!
Atter the initial connectian has been made to the water service curb stop box ar fihe sewer fead afi fihe property line or a+rater servic�e lead has
been excended to�the property line for connection,the appiicarrt,awner,or accupant or use�aF such prem+ses shatf be liabie for all repairs
required�o aay wa#er{ine and sewer lines�ecessary for connection vf the premises from the main to the premises. if the property orrner
cequests maintenance service or repairs be perFurmed by the City,the prvperty owner sf�ali be charged for the costs of the maimenar�andJor
repairs,including necessary street repairs at a rate set annua![y by an administrative poiicy. li shall be the responsi6ility of t6e ap�icarrt,
awner,occupant or user to perform sbndard mairrCenance of the sewer service tine from i�e preraises to fifie main i�dudir�g debris dearing rn
root cutting and to maintain#fie water service curb sfiap box for o{oerability and at sucfi height as wili ensure tfiat it rernains abmre dtie flnished
grade af the land or prvperty. �Ref 638,1356,1191)