Meter Swap , ` Request Number: 13271
Public Works Division
Service Request
Problem Addre::: 5495 W Danube Rd Requested By: Merle Peterson
Departmeat: WA'IER ��.eSB: 5495 W Damibe Rd
Fridley,MN 5543Z
ProMem/Ias�: INSTALL AMR METER PLoae Number: 612-913-2821
ScNededed Date: 2017-U2- � Sc6ednled 11me: 02:OO:W
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AC'IION NEEDED:
Cres�ted by: Betii Kordrick Date Created: 2017-02-03 �
AGIION TAKEN:
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Stat�: In Progress Sab�itter Has Beea �.,
Contuted
Date Compteted: �-- � �� � (� Completed by: 1 G � �`
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L1fa�ea-�epar�ra�ten�
6431 iDniversity�Avenue NE � ,"� '� � 1 �
Fridley,Mf11 554.32 v
� 753-532-3566 `� �� � ��� -� � O � �
� t1�� hereby authorize#he City of Fridley and/or its empioyees to clo what is necessary ta
replace the water meter. I understand tha#�he property owner is liable for the water line from the main to the premise and all imerior
plumbing. (Per Crty code 402.06j i also hold the City of Fcidley and/its emptoyees harmless#or any tlamages that ma�occur�erhite doing this
operation. This#o include,bufi not lim�ted to vaives,piping,walls,floors or the curb stop box and senrice line. In understand!am also requii
to obtain a permit prior to any avorlc,if eecessary.
F1NAL METER READING 4oid meter) ��� ����
Name:--�����`t �Pi'�'G�f)� Address �� I� �• �tJ�V�J'e- �.
Phone Number�� L►"� q�, J� �U�_ �.,"' 1�� ��
Date
Signatare Witness Signature ��'
OLD MET�R# _ 6 ✓ �VGT��
OLD READtNG ��lS��C9��
1�EW METER#_ 1 V t v � 1 ��
NEW REA,DtIVG �
ERT# � � CJ � �� � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,SCORM WATER AND SaNITARY SEWER
ADMlNISTRATION
(Ref Ord No 123,464,565,566,629,638,662,922,988,i144,I156,1191}
402.5 PERMIT FEE
Prior to constructing ar repair of any water af sewer fine connecting the existing muniapal system and arry house or buildirg for which the
application is made,the owner or corrtractor shali be required to obtain a permit fov such c�ns�ection,and sNaN pay a permit fee as provided in
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Department shall be no#if"ied. tt shail be unfawful to covE
any connecting line urrtii an irtspection has been made and such connection and the work inaderrt thereto has been approved by the Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEfYANCE TO CONNECTION
After the initial connection has been made#o the water service curb stop boK or the sewer lead at the property I�ne or a water service lead has
been exteaded to�the property{ine for connection,the applicarrt,owner,or accuparrt ar user of such premises sftiatl be liable for ell repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests mairrtenance service oc repairs 6e perFormed by the C'rty,the property owner shatl be charged for the costs af the mairrterrar�ce and/oi
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shail be the responsbilrty of the applicarit,
owner,ocEupant ar user to perform standard mairrtenance of the sewer service line from the premises to the main�ndu�ng debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure Chat it remains above the finished
grade of the land or property. (Ref 638,1156,1191)