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Meter Swap � Request Number: 13372 Public Works Division Service Request Problem Address: 5670 W Danube Rd Requested By: Hein Tran Department: WA1ER Address: No ad�ess provided ProMem/lssue: INSTALL AMR ME'IER Phone Nnmber: 763-245-3822 Sched�iled Date: 2017-02-16 5chednled 1lme: Ol:30:0(? � � � ACITON NEEDED: Created by: Beth Kondrick Dste Crested: 2017-02-OS �,'IION TAi�N: ��T�1�V`� �'�� Status: In Progress Sabmitter H�Been r, Contacted Date Completed:� ,.1�— �� Completed by: ��� ..r�wcw.r vs�cYe Y.Y89�lt6 6431 t9niversltg/Avena�e NE E'�`�y � t+ ` ^ � Fridley,MN 55432 � 763-��z-3��� ,�� 3 �y�'7 `11 � ---t� I ��0�''�'� her�6y authorize the Giiy a#Fridley andJor its employees to slo whafi is necessary to � a'eplate#he water meter. 1 understand that the�ropee�ty owner 9s iiab{e for the+erater line from the main to the premise and a(1 irrterior plurrrbing. {Per Crty sosie 402.K16j i alsa�told the Cit1j of Fridley andf its employees harmless#or any damages tfiat anay otcur white doing this operat�on. This to�nclude,but not lianated 3o valves,piping,walis,#loors or the curb stop box and service line. In understand 1 am also requir to obtain a permrt prior to aniy�vor4c,if a►ecessary. FlAtAL f1AETER READING(old meterj � v ( V l,� l�iame: � 1�'�I� �rrivV�, Address �VL�v �- �G►1�j�W�'G �.(� . Phone Wumber I�3—' ��S 'c�2� p� �, '� �,��'� Sigrsature Nlitness Signature "'� OLD METER#D�" V �t/�t/ OLD RfADil11G__ 6' j � ��L/ �Ew M��R�_�, g`�c� �7 75 � NEW READ{NG � ERT# � � � � C��p lJt . FR1DLfY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER ADMINISTRATION (RQf Ord f1i0113�4640 565�566s 629�63$�562�922�988'I144�1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of ae�y water vF sewer line connecting the existing munia�al system and any house oc buiidfr�g for which the applicatian is made,the owner or contractor shall be required tv obtain a permit fo�such connection,and shaU pay a permit fee as provicted irt Chapter 11 of this Code. After such connection has been made,the�Alater and Searer Departmer�t sha41 be notified. (t sha(t be unfawiul to cove any con�ecCing tine uritil an inspection has 6een anade and such connect�on and the work inaderrt thereto has been appro�ed by the Gty as a proper and suitable connection. 402.06 REPA(RS AND MAlNTENANCE TO COAINfCTiON After the initial connectian has been made to the water service curb stop boK o+�fihe sewer lead at the property line or a water service Iead has been extended to ihe property line for connectivn,the appiicam,owner,or occupant or user of such premises shall be t�bte fos�il repairs requ�red to any wates line and sewer tines necessary for connectina of the premises from Lhe main to the premises. tf the proper[y orvner requests mairrtenance senrice or repairs be perFormed by the C'ity,the property owner sha(1 be charged for#he costs o#the maiMerrance andJor repairs,includ?ng necessary street repairs at a rate set annuaily!�an administrative policy, it shali be the responsib�lity of the applicarrt, owner,occuparrt or user to perform standard cr�aisrtenance of the sewer service Gne from tF�e premises to the main dnciuding debris dearing or root s.utting and to mairrtain the water service curb stop box for operability and at such heigtrt as wiii ensure that it remains abrnre the flnished grade of fihe land or property. (Ref 638,1156,1191j