Meter Swap ,. �` Request Number: 13047
Public Works Division
Service Re�uest
Problem Address: 5468 W Danube Rd Requested By: Jemmie Kent
Departme�: WA'IER �dress: 5468 West Dannibe Rd
Fridley,MN 55433
Problem/Issue: Il�IST.AZ.L AMR METER Phone Namber: 763-571-574'7
Scheduled te: 20 7-02-01 Schedoledllme: 08:30:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-01-24
ACIION TAKEN:
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Statna: In Progcess �bmitter Haa Been r
Contacted
Date Completed: � -- 1 —�' ��� Completed by: �� ��
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���or rr�aoey
Water�eparta�nent 7 .,._. � �h ;^�
6431 Universityf Avenue NE '� � '� � �� `'l' --v v
` � Fridley, MN 55432 � /
• 763-572-3566 C, ,��j 3 1
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!/we hereby authorize the Ciiy of Fridley and/or its employees to do what is necessary to
replace the wafier meter. I understand that the property owner is liabte for the water line from the main to the premise and all iMerior
piumbing. (Per City code 402.06) i also hold the C'cty of Fridley and/its employees harmless#or any damages that may occur while doing this
operation. This to include,bufi not lirn'rted to valves,piping,wails,floors ar the curb stop box and service line. In understand t am atso required
to obtain a permit prior to any wo�c,if necessary.
FINAL ME7ER READIW o�d meter) cJ � ` j V�
Name: ��iL I -p��'� Address �"1 �v W • �/C.,VbW►'!G 1""'�"`
Phone Number �"'` ,���� � � �� p� �`� t���
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Signature � NI'rq�ess Signature
OLD METER#__ �v� �✓��
OLD READtNG � � ` ` �U
NEW METER# � V �O � � 0��
NEW READING v
ERT# � I � � � � �/�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
�Ref Ord ilto 113,464,565,566,629,638,662,922,988,1144,1I56,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conneccing the existing municipal system and any house or buildi�for which the
application is made,the owner or corrtractor shatl be required to obtain a permit for such connection,and shalt pay a permit fee as pro�rided iR
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shali be notified. tt shall be uniawful to co�r
any connecting line until an inspection has been made and such connestion and the work inciderrt thereto has bee�approved by the City as a
proper and suitabte connection.
402.06 REPAtRS AND MAINTENANCE TO CONNECT(ON
After the initial connectio�has been made to the water senrice wrb stop box or the sewer lead at the property Ifne or a water service lead has
been eztended to the property line for connection,the appiicaM,owner,or accuparit or user of such premises shall be lfabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property cwner
requests mairrtenance senrice or repairs be performed by tfie Crty,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inciuding necessary street repairs at a rate set annualiy by an administrative poliry. R sha0 be d�e cesponsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the maio including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of#he land or property. (Ref 638,1156,1191}