Meter Swap . • Request Number: 13111
Public Works Division
Service Request
Problem Address: 5630 W Danube Rd Requested By: Ken Bureau
Department: WA'IER Addreas: No a�ress provided
Problem/lssue: INSTALL AMR ME1ER Phone Nwnber: 612-850-4412
Schednled Date: 2017-01-30 Sc6ednled'ilme: 11:30:Of1
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ACIION NEEDED:
Cre�ted by: We�y Hiatt Drte Creatcd: 2017-01-26
ACTION T .
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��Eas: In Progress Submitter Has Been r
Contskted
Date Compieted: Completed by: y��. ,. .
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Fridlsy, M6�( 55432 l.� ��
753-5�2-3566 ��'�' I ���� �
�O�e hereby authorize the�ity a#Fri+dley and/or its empioyees to do what is necessary to
' replace the water meter. 1 understand that the property owner 6s liable for the water line from the main to the premise and all iriterior
plu��rabing. (Per Gty so�le 402.06j i also hold the City�of Fstidley and/'rts employees harmless#or eny damages tha�C may occur rrhile doing this
oper�rtion. This#o�nclude,bufi not 9imited to valves,p�ping,waUs,floors or the curb skop box and service line. In understand 6 aro also requir
to obtain a permit prior#o any aerorlc,if necessary.
FIAIAL METER READING meter) �� � �
,
Name• qddress
Phone iYumber � � ��ate `��� — , 1
Signa#ure YVitness Signature �L�•--
��D���R�_ I�.� `ZZ
OLD READtNG_��� L 3 �Q�
NEW METER#_����3�
AiEW READlMG 1_l
ERT#� 1���/�� �
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FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADM1NtSfRA170N
(Ref Ord Bllo 113,464,565,566,629,638,662,92Z,988,1144,T156,1191]
4Q2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and arry house oc building for which the
application is made,the owner or corrtractor shail be required to obtain a permit for such connection,and shall pay a permit fee as prrnrided irr
Chapter 11 af thFs Code. Afiter such connection has i�een made,the Water and Sewer Departmer�t shail be n�ed. it shail be unlawfiai to cove
arry connecting line uMil an inspection has been made and such connection and the wor8c inciderrt thereto has been approved by the Gty as a
proper and witable connection.
402.06 REPAiRS AMD MAIAITENAOOICE TO CONNEC71a111
After the initial connection has been made to the water service curb s#op box or the sewer lead at the property line or a water sen�e le�l fias
been extended to fihe property line for connection,the appiica+rt,owner,or accupaM or user aF such premises sf�aq be Qabie for all repairs
required to ang water tine and sewer tines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shali be charged for#he costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. tt shatl be the respons+bility of d�e appiicarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premises to the main i�duding debris dearing or
root sutting and to maintain the water service curb stop box for operabilityr and at such height as wili ensure that�t remains above the finished
grade of the land or property. (Ref 638,1156,1191)