Meter Swap � Request Number: 13180
Public Works Division
Setvice Request
Problem Address: 1408 W Danube Rd Requested By: Ryan Meyer
Department: WA'IER Address: 1408 W Dffiube Rd
Fridley,MN 55432
Probl em/Issue: INSTAL,L AMR METER Phone Number: 612-716-8728
Scheduled Date: 2017-02-06 Schednled'I1me: 11:30:00
M � �
ACIION NEEDED:
Created by: Beth Kondrick Date Creaked: 2017-01-30
ACTION TAI�N: �
In,S ��
Status: In Progress . Sabmitter Haa Beea r
Contuted
Date Completed: Completed by:
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1rVater i9e�arta�sent '7
�6431 Universi�tyr Avereue N� � (,; ,�� j (
Fridley,M�V 55432 ( /
753-572-3566 a a 3 ^ � �� 1 U Q— �`� �
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1/we her�eby authorize the City of Fridley and/or its emptoyees to do what is necessary to
replace#he water meter. 1 understand that�he groperty owner as liabie for the water line from the main to the premise and all enterior
pfurrrbing. (Per�ty oode 402.06j i also hoid the�ity of Fridtey and/'rts empfoyees harmless#or any damages that may occur rrhite doing thts
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit prior to�rry�ror4c,�f aecessary.
FINAI.METER REApING(old eter) ���� V��
Name: � Address �
Phone Number
� ^ Date `�v� ��
Signature , Witness Signature
OLD METER# �� �S �O
OLD READtNG�.,�,g� —` �
NEW METER# � �c�
NEW READIPIG �
ERT# ���� F/�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER Q►ND SANtTARY SEWER
ADMlNISTRATION
(Ref Ord No 113,4�,565,566,629,638,662,922,988,1144,I156,T191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line wnnecting the existing muniapai system and arry house or buildir�for which the
application is made,the owner or coritra�ctor shall be required to ofrtain a permit for sudt connedion,and shali pay a permit fee as provided in•
Chapter 11 of this Code. After sucfi connection has b�en made,the Water and Sewer Departmerit shall be notified. ft shail be uniawful to cover
any tonnecting line until an ir�spection has been made and such connection and the work inaderrt thereto has been appro�d by�e City as a
proper and saitable connection.
402.06 REPAIRS ARID lIHAINTENANCE TO COMNECTION
After the initiaf connection has been made to the water senrice curb stop box or the sewer lead at fihe property tine w a water service lead#ias
been extended to fihe property line for wnnedion,the applicarrt,owner,or occuparrt or user aF wch premises shal{be IiaMe for ail repairs
required#o any water line and sewer I�nes necessary for connedion of the premises from the main to the premi�s. tf the property owner
requests mairitenance service or repairs be per�ormed by the City,the property owner shali be charged for the tosts of the maintenance and/or
repairs,incfuding necessary street repairs at a rate set annually by a�administrative policr, it shall be the responstbiPrty oFthe appliprrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such heigtrt as wiU ensure that it remains above the flnished
grade of#he land or property, (Ref 638,1156,1191j