Meter Swap Request Number: 13184
Public works Division
SeivTice Request
Problem Address: 5535 W Danube Rd Requested By: Karen Schuitz
Department: WA1ER Addreas: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-723-3666
Schedule D e: 2017- -01 Schedeled'llme: 09:00:0(1
ST ��m
A�1'ION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-01-31
ACTION TAi�N:
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Status: In Progress 5nbmitter Has Been r
Co�acted
Date Completed: a"' � � �� Completed by: ����
�Alate��epar�tpnent
6431 ilnivers7t'/Avenue NE �./ j-7
` ` Fridtey, MN 55432 �,:� ;— t�J / �7C'•. (.. �,
753-5�2-3566 2 r
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!/we hereby authorize the Ciiy of Fridley and/or its empioyees to alo what is necessary to
replace the wafier meter. !understand that�he property owner is liable for the water line from the main to the premise aed all iaterior
piumbing. (Per Gty code 402.06) i also hold the C'oty of Fridley andrYs employees harmless#or eny damages that may occur while doing this
operation. This to inciude,but not lim�#ed to valves,piping,waUs,floors or the curb stop box and service line. 1n understand 1 am also require�
to obtain a permit prios to any�vor9c,if necessary.
FINAL METER READING(old meter) ` � � � ""
Name: � � S (ti���.• Address J �3"✓ �P� . � A.tn.G✓Vj'L �•
PhoneNu r l.Y��.��o�?j" ��. Date �� � i Y
�Signature Wttness Signature
'� OLD METfR#��J `� y �
OLD RE�1DtNG_ 1 ��� �
i19EW METER# _ 1 V 1��3a' i
NEW READfNG �/
��# 71 �ao ��l � �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,S7QRM WATER AND SANITARY SEWER ;' �, `".�'
�
ADMINISTRATION `
(Ref Ord Plo 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing vr repair of any water of sewer line wnnecting the existing munitipai system and arry house or building for which the
app(ication is made,the owner or corrtractor shafl be required to obtain a permit for such connection,and shall pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be n�ed. it shall be unlawful to cover
any tonnecting line until an fnspection has been made and such connection and the war�c incidecrt thereto has been approved by the C'ity as a
proper and suitable connection.
402.06 REPAlRS ANQ MAINTENANCE TQ CONNECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the propecty line or a water senrk:e lead has
been extended to the property line for wnnection,the appiicarrt,owner,or accuparrt or user af such premises shall be IiaMe for all repairs
required to any water line and sewer lines rtecessary for connection of the premises from the main to the prem'�ses. If ifie property owner
requests main#enance senrice or repairs be pe�formed by the C'rty,the property owner shall be charged for the costs of the mairrtenance and�or
repairs,inctud'+ng necessary street repairs at a rate set annually by an administrative poliry. It shal!be the responstbil'rty of the applipr�t,
owner,occuparrt or user to perform standard maintenance of the sewer service line from the prem+ses to the maia includir�deb+is dearing or
root tutCing and to mairrtain the water service curb stop box for operability and at such height as will ensure that ft remains above the fi�ished
grade of the land or property. (Ref 638,1156,1191)