Meter Swap . � Request Number: 13150
Public works Division
Service Request
Problem Address: 5660 W Danube Rd Requested By: Jeremy Sell�n
Departme�: WA1ER Address: 5660 W Dam�be Rd
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Nnmbers 763-242-5879
Schednled Dnte: 201�-02-09 Sc6edaled'llme: 10:30:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-01-27
ACTIO TAI�N• t {�
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Status: In Progress Snbmftter Aas Beea �..
Coututed
Date Completedc Completed by:
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6431 tlniv�a-sity 1�,ve�v�e 9U� � �3 C
Friei9ey,M9ai 5543Z � �Y ( � �--
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' j01A°� hereby authorize#he Crty of Frrdley and/or its empioyees to s!o snrhat is necessary to
replace the water�neter. 1 understand ti�at the property oavner is tiabie for the avater line from the main to the premise and all irrterior
plurrrbing. (Per Crty sode 402.06) i also hoPd the C'�r�f Fridtey and/its empfoyees harmfess#or any damages that may occur ierhite doing this
operation. This to include,but not lim"rted 3o valves,piping,walis,floors or the turb sko�t�ox and service line. In understand 1 am a{so requir
to abtain a permii prior to�any+erorlc,if necessary.
FIAIAL f1AETER READ1PiG{old meter) "���� v� �j�O�Pu
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W'rtness S'igna#ure
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiNISTRATION
(Ref Ord No 113,464,565,566,629,635,662,922,988,1144,1156,1191j
402.5 PERM6T�EE
Prior to constructing or repair of ar�y water of sewer line connecting the existing muniapal system and arry hause or building for which the
appticafiion is made,fihe owner or writractor sha(I be required to obtain a peemit for such wnnect+on,and sha{i pay a permitfee as provided in
Chapter 12 of this Code. After such connection has been made,the Water and Sewer Departmer�t shali be notitied. tt sfiail he untaarfui to cove
arry connecting line untii an inspection has been made and such connection and the wordc inaderrt thereto has bee�approved by the C'rty as a
proper and suitabte connect'son.
402•06 REPAIRS Af01D MAINTEAIANCE TO COMiolECT10N
Aftev the initiat connecfiion has been made to the water senrice curb stop 6ox or the sewer lead at the property line or a water service lead 6as
been extended to fihe property line for connettion,tfie applicarrt,owner,or accupan#or user of such premises sf�all be Ifable for afl repairs
required fio any water line and sewer lines necessary for r,.onnection af the premises from the main fio the premises. tF the property a�rner
requests mairrtenance senrice or repairs be perFormed by the City,the property owner shali be charged for the costs of ifie mair�tenarice and/or
repairs,including rtecessary street repairs at a rate set annually by an administrative poliry. ft shall be the responsbility af the applicarit,
owner,occupant or user to perform sCandard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root catting and to mairrtain the water service curb stop box for operabiiity and at such height as wili ensure that it remair�s above the fl�ished
grade of khe iand or property. (Ref 638,1156,1191�