Meter Swap ` Request Number: 13200
Public Works Division
Service Request
Problem Address: 5498 W Danube Rd Requested By: Roger Hannon
Depqrtme�: WATER Address: 5498 W Da�ubc Rd
Fridley,MN 51432
Problem/Isane: INSTALL AMR METER Phone Nne�ber: 612-910-3111
Schednled Date: 2017-02-09 Schednled 11me: I 1:00:00
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ACTION NEEDED:
Crerted by: Beth Koac�ick D�e Cresttd: 2017-02-01
ACIION T . �
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St�: In Progress 5nba�itter Ass Been �
Contacted
Date Completed: Compieted by:
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Wate��epartanent �q
5431 Undversity Avenue N� S� � � l '
Frid6ey, MN 55432
. ' 763-572-3566 ,� ��3 __ y +�� ,�"�, L,._(, �
�/'y'�e hereby authorize Yhe C'rty o�f Fridley and/or its empioyees to aio what is necessacy to
replace the wafier rne#er. I Understand that the property owner is liabie for the water line trom the main to the premise and all interior
piumbing. (Per City wde 4p2.06j i also hofd tfie eciy ot Fcidley and/'rts empioyees harmless#or any damages that may occur white doing this
operation. This to include,but not lim+tecl to valves,piping,wafls,floors or the+curb stop box and service 1ine. in understand!am also require�
to obtain a permifi prior to any�ro�c,if necessary.
F1NAL METER READING( d eter) � � � `� �
Alame• Address � � 1� � �/�'
Phone Number ����V^ � D� � �
Signature Witness Signature
OLD METfR# i� v� l�b.�
OLD READ[NG� �� ' � �
NEW METE[t#
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NEW READIIVG
ERT# �� dJl� l�� '
FRIDLEY CITY CODE
CHAPTER 402.WATER,SfORM WATER AND SANITARY SEWER
ADMIWISTRATiON
(Ref Ord No 113,464,565,566,629,638,66Z,922,988,1144,1156,1191)
4Q2.5 PERMiT FEE
Prior to r.onstructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
applicat+on is made,the owner or cor�traactor shall be required to abtain a permit for such connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. After such connection has been rnade,the Water and 5ewer Department shali be notified. it shall be un(awful to cover
any connecting line uirtil an inspection has been made and such connection and the work inadeM thereto has been appro�red by the City as a
proper and suitahie connection.
402.06 REPAiRS AND MAItVTENq(YCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer iead at fihe praperty iine or a water service lead has
been extended to the property line for cpnnection,the appiicasrt,owner,or accupar►t or user of such premises shall be Ilabie for e11 repairs
required fio any water line and sewer lines necessary for connection vf the premises from the main to the prem�ses. ff the property owner
requests mairrtenance senrice or repairs be performed by the City,the properky owner shaH be charged for the�aF the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualty hy an admi�istrative poliry. It sfiatf be the respansibil'rty of the applicant,
owner,occuparrt or user to perform standard mairrtenance of the sevrer service line from the prers�ises to the main i�luding debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains ahove the finished
grade of the land or property. (Ref 638,1156,1191)