Meter Swap uvatea�9�eq�ar�a�r�ent
5431�Dnivea-siiry�Avereue NE
, ' � Fridleya MS11 55432 . �� _ �l G� ���� �1�� ��
763-572-3566 �"
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��'"Pe— her�6y authorize#he Crty of�riciley and/or its empioyees to do what is necessary to
reptace#he rvater meLer. 1 understand ti�at the property owner�s liable for fihe watee line from the main to the premise and ail irnerior
plurrebing. (Per City�!e 4Q2.06� i a(so hold the City of�ridley and�ts employees harmless for arry damages that may occur while doing this
og►�ration. This to include,but not 9imi#ed io valxes,piping,wails,�loors or the curb stop box and service line. in understand!am aiso requir
to obtain a perm'rt prior ta ar�y ierorlc,if necessary.
F11UAL METER READIAiG(okI meterj � 1�✓�� � �
lriame: �1� '�`^�' ` `�e''� Address �� � � " ' ��v�
Phone Piumber 50 12+ ��b^V t��� �� `��...� �
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Signatun iNitness Signature
o�D���R#��t S �I � `� �
OLD READlNG � � L� � ( Gv G/�/M��R�
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NEW METER# ���� �Z�a f� � �
NEW READfNG� �
ERT# 1 ��J �Z�LC� .
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CI-lAPTER402.WA7 � � •;;�'�ARYSEINER
(Ref Ord No 113,464,56: � �, I1i144,I156,1191j
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402.5 PER9UfITFEE �,,��,,,��
— �
Prior to constructing or s�epair of any water of sewer Pne connecting the euisting muniapai system and any house or buildir�for which the
application is made,the owner or corrtractor shait be required to abtain a perm+t for sucb connection,and st�ali pay a permitfee as pr�ovided in
Chapter 11 of th�s Code. After such wnnection has been made,the Water and Sewer Departmer�t shall be notified. i#shail be unlawfui to cove�
arry connecting line until an inspection has been made and wch connection and the work inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REP,4IRS AND MAIWTENANCE TO COtlINECTION
After t�e initiat connecfion has been made io the water service curb stop box or the sewer fead at the property line or a waater service lead has
been extended to the property line for connection,the applicarrt,owner,or accupant or user of wch premises shall be I�abie f�al�repa�rs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. if the�operty owner
requests mairrtenance senrice or repairs be per-Formed by the C'ity,the property owner shali be charged for the costs a#the mairttenance and/or
repairs,including pecessary street repairs at a rate set annually by an administrattive policy. R shail be the responsibility of the a{�licarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewes service line from the premises to the main includi�delxis dearing or
root cutting and to mairrtain the wa�ter service curb stop box for operability and at such height as wili ensure that it remains above the fiaist�ed
grade of the land or property. �Re#638,1156,1191)
...►
- Request Number: 13147
Public Works Division
Service Request
Problem Address: 5555 W Danube Rd Requested By: Liz Rammer
Department: WA'IER �.eSs: 5555 W I�be Rd
Fridley,MN 55432
Problem/7ssne: INSTALL AMR ME1ER Pho�Number: 612-816-0118
Scheduled Date: 201'7-01-3 Sc6edW ed Time: 07:00:00
_ j'y
ACTION NEEDED:
Created by: Beth Kondrick Date Crexted: 2017-01-2�
ACTION T
�
Statua: In Progress 5nbmitter H�Been �
Coatacted
Date Completcd: Completed by:
� " 30 _ �� �-1_' �r
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