Meter Swap � Request Numb►er: 13204
Pubtic works Div3sion
Service Request
Problem Addresa: 5595 W Danube Rd Requested By: Terri Raymond
DepnrtmeHt: WA�FR ,�.�ss; 5595 W Daaube Rd
Fridley,MN 55432
PreWem/Issne: INSTAI.L AMR METER Phoae Ne�nber: 763-242-�910
Schedtiled 201?-02-0� Scbedded 1fine: 08:00:00
�
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 201�-02-01
ACTION TAI�N:
�. �, G�d � � �-
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St�ns: la Progcess Snbmitter Haa Beea r,
Contuted
Date Completed: �--3-- � Completed by: ���Y
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�tVatea��ysar�a'rten�
�431 i�r�iv�rsity�Aver,a�e N� � �� .� ��� �l
Fridley,MPl 55432 �
, 7�3-��z-3ss5 a a 3 -- y 1� �y v�v �,
" 9/W� hereby authorize the�LFty of Fridley and/or its empioyees to slo what is necessary ta
replace the water�neter. �understand that the propea�ty owner is liable for the water iine from the main to the premise and al�interior
plumbing. (Per City code 402.06j i also hold tF►e Ccty�f Fridley and/'rts empioyees harmless foe any damages that may occur while doing this
operation. This to inclade,but not lira�rted to valves,piping,walts,floors or the curb stop box and service line. Ort understartd!am also requi�
to obtain a permit prior fio arry�rorlc,�f necessary.
FIMAL METER READING(old meter) �V / � C._/L/
Wame:_��.��b 1�a-� N�Ld�-� Addre� �� ` � �• �C�t�l tA��'� K-` •
Phone iYumber 7�(s 3 ���2" q, �C7 p� ��' ��--C `�
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SI�RaL11!'@ �A(�['d'IESS SIg17d�UP2 ��
o�D��ER�_� ���, �G15 3
OLD READlNG �V � ��
NEW METER# V
NEW READNVG
�R�# � � a �
FRIDLEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAttY SEWER
ADMIfY1STRATiON
(Ref Ord No 113,4�64,565,566,629,638,662,922,988,1144,i156,1191j
4Q2S PERMii'FEE
Prior to constructir�g or repair of any wafier oF sewer iene connecting the existing munia�tat system and arry house or buiidir�for which the
application is made,the owner or comaactor sha11 be required to obtain a permit for such connection,and shall pay a permit fee as prov�ded in
Chapter 11 of this Code. After such connection has been rnade,the Water and Sewer Department shall be notif'ied. It shati l�unlawful ta�
any co�necting line until an inspecfion has been made and such connedion and the worbc inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AIdD MAINTEf11qNCE TO CONNELTION •
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line w a water xrvice lead f�
beert extended to the property line for connection,t6e applicarit,own�r,or accuparrt or user of such premises shatt be tiabie for all repairs
required to any water line and sewer lines necessary for connection af the premises frvm Lhe main to the premises. If ffie property owner
requests mairrtenance senrice or repairs be perFormed by the City,#he property owner s(wil be d�arged for the costs af ihe maintenance andjo�
repairs,including necessary street repairs at a rate set annualiy by an administrative policy, It shal!be#he responsib�'lity of the appl'icarrt,
owner,ocsuparrt or user to perfiorm standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cvtting and fio ma�rrtain the water service curb sfiop box for operability and at such height as wili ensure that it remairis above the fin�shed
grade of the land or property. {Ref 638,1156,1191)