Meter Swap Request Number: 13140
-' Public works Division
� Service Request
Problem A+ddress: 1417 W Danube Rd Requested By: Sergei
Departme�: WATER Addres:: No address provided
Problem/Iaane: INSTALL AMR ME1ER Phone Nnmber: 612-703-8480
Schedaled Date: 2017-01-30 ��hednled 1ime: 08:00:00
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ACTION NEEDED:
Crented by: Wendy Hiatt Date CreAted: 20l 7-O 1-27
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AGTION TAI�N:
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Ststas: In Progress Snbmitter Has Been �,
Co�acted
Date Completed: Com�eted by:
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�vate��parta'rtent
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Fridley, M4V 55432 a"�"�' - �
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,,I"�� hereby authorize the�ifiy�#Pridley andjor its empioyees to do what is necessary to
' replace the m+rater meter. 1 understand tt�at ihe property owner u liable for the water line�rom the main to the premise and ail irnerior
. plumbing. (Per C'rty cocle 402.06� i atso hold the C'�/�orf F�idiey andfats employees harmless for any damages that may occur while doing this
opew�tion. This to 9nclude,but not lim�ted+to valves,piping,walls,#loors or the,curb stop box and service iine. In understand!am also requir
to obtain a permrt prior to arry worlc,if necessary.
FBtiVAL METER READING(old mefierj � �� � � ��
Name: �i � Addresx_�_ ll1 W �C�1✓���
Phone Number n ��� p� `��V"' l�, -
Signature Wftness Signa�d�re �� �—
OLDMETER#�� � V����
OLD READtNG�� c� S �t ��
NEW METER#__Ig�� ��.�' 1 ,��
NEW READtNG � �
ERT# ��`���
FRPDLEY CITIf CODE
CHAPTER 40Z.WATER,STORM WATER AND SANITAitY SEWER
ADMINISTRATION
(Ref Ord N10 113,464,565,566,629,638,662,92Z,988,1144,1156,1391j
402.5 PERMIT PEE
Prior to constructing ar repair of any water of sewer line connecting the existing muniapal system and arry hause or building for whicfi the
appiication is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided ie
Chapter 11 of this Code. After such connectian has been made,the Water and Searer Departmerrt shall be notified. i#shall 6e untawfui to cove
ar�y connecting line urrtil an inspection has been rnade and such connection and the worlc inciderrt thereto has been approxed by the City as a
proper and witable connection.
402.06 REPAIRS AMD MAINTENRNCE TO CON11[ECTION
After the initia!connectivrt has been mads to the water senrice curb stop 6ox or the sewer lead at the property line or a water serv�lead has
been extended#o the property line for connection,tNe app(icarrt,owner,or accuparrt or user af such premtses shal(be{iabie for alt repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the prem�ses. if d�e property ewner
requests mairrtenance senrice or repairs be performed by the City,the proper�y owner shall be charged for#he costs of the mairKenarwe and/or
repairs,including necessary street repairs at a rate set annualfy by an administrative policy. It sbatl be the responsbility of the applicarrt,
owner,occvpant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root tutting and to mair�tain the water service cur6 stop boK for operabili#y and at such height as wi71 ensure that it remains above the finished
grade of xhe land or properLy. (Ref 638,1156,1191)