Meter Swap ` Request Number: 13076
Public Works Division
Service Request
Problem Address: 5608 W Danube Rd Requested By: Sarah Marlowe
Depxrtme�: WATER Address: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-226-0811
Schednled Dxte: 2017-01-31 Schednled 11me: 07:00:00
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ACIION NEEDED:
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Created by: Wendy Hiatt Date Created: 2017-01-25
AC"IION TAI�N:
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Status: In Pro�ess Snbmitter H�Beea r,
Coutacted
�e���'�eted: Completed by:
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irilate��e�sarta�t,ertt ,
6431 lOniversFtvf Aven�e i�E � �,� � % ��''��
, � Fridley, MP1 55432
, 753-572-3565 ��-3-���� 7 v�"�-
,I'"�e hereby authorize#he City af Pridley and/or its empioyees to do what is necessary to
replace#he water meter. 1 understand that�he q�roperty owner u liabte for the water liae feom the main to the premise and a1{irrteriar
piuenbing. �Per Crty�ode 402.06j 1 also hold the City of Fridley and/its employees harmless#or eny slamages that may occur whi{e doir�g this
opewation. This to inciude,but not Bimrted to valves,piping,walls,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit priar to any�vor6c,if necessary.
FlNAL METER READING{old meter) 1� J ap � ��
Name:�a•Y�� ��Y��O�JL Atldress �b�� � �.��►.4W� �-�
Phone Numbe�',/�'Lr�G.YO���/1 p� � ^ ��"- l�
Signature Ntitne�Stgnature
,, ��,� l � � s �
OLD METER# '
OLD READ[NG__� L r� � C -1 �
NEW METER ^' � ��v ��� �
NEW REQDlNG l�/
ERT# � ����`�
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FR{DIEY C{TY CODE
CHAPTER 402.WATER,STORM WATER AR1D SANITARY SEWER
ADMINISTRATIORI
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and acry house oc b�siidis�g for whid�the
appfiption is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as prrnrided in�
Chapter 11 of this Code. After such connection i�as been made,the Water and Sewer Departme�shall be�ot�ed. ft sha14 be unlawful to c�rer
arry connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connection.
402.d6 REPAfRS A11iD MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been exfiended#o the property line for wnnection,the appiicant,owner,or accupant or user of such premises sF�ali be liable fer all repairs
required ta any water line and sewer iines necessary for connedion of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be perFormed by the C'ity,the property owner sha(I be charged for the sosts of the mairKenance andJor
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. k shatl be the responsibility of the appiicarrt,
owner,occupasrt ar user to perform standard mairrtenance of#he sewer serv�ce li�e from the premises to the main including debris dearing o�
root cutting and to mairrtain#he water service curb sfiop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)