Meter Swap . � ` Request Number: 13045
Public Works Division
Service Request
Problem Address: 5502 W Danube Rd Requested By: Ste�e
Departmeat: WATER Address: No address�ovided
Pro�em/1�s�: INSTAI,L AMR METF.R Phone Number: 763-574-1712 or 763-442•3334
Scheduled Date: 2017-0 i-31 Seheduled 1Ime: 08:30:00
�V�S � s� ��
ACIiON NEEDED:
Cre�ted by: Wendy Hiatt Date Crerted: 2017-Q1-24
ACIION TA1�N:
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1�n, in�l�., �`�v wc. ��ex�
i
Status: In Pro ess Snbmitter HAs Been r
� Contacted
Date Campieted: Completed by:
� � �r r I � � ��
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c,rc�p or rriaoey
Water Department � , ���
6431 Universit�/Avenue NE � �` �� %' �
. Fridley, MN 55432 ��� _ �1�.��y���
• 763-572-3566
1/we hereby authorize the City of Frici(ey and/or its empioyees to do what is oecessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. {Per City code 402.06) i also hold the C"oty of Fridley and/its employees harmless#or any slamages that may occur while doing this
operation. This to include,but not limi#ed to valves,piping,walis,floors or xhe curb stop box and service line. In understand!am also required
to obtain a permit prior to arry wor[c,if necessary.
FINAL METER READING(old meter) I �� �p��
fYame:�� "� Address ,/�� ` W Q/�/V�K/� 'v�
Phone Number ����'� �� � D� �`��"— ,�
Si�nature witness Signature
o�o nnErER#�5 b���--�3
OLD READING_�����
NEWMETER# � 1��
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NEW READtNG � �
ERT# � ��
53�. � °'� .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNlSTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERiVttT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which tfie
appl�cation is made,the owner or corrtractor shal!be required to obtain a pe+vnit for such cormection,ami shall�tay a permit fee as provid�l in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be ootified. tt shall be unlawFul to cover
any connecting line urrtii an irispection has been made and such connection and the work inadent thereto has been appro�ed by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead Nas
been extended to the property line for connection,the appiicant,owner,or accupant or user aF such premises shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property�rner
requests maintenance service or repairs be performed by the C�ty,the property owner shall be charged for the cost.s of ffie mairrtenanc�e and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. R shall be t�e responsibility of the applicarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer service line from the premises to the main includir�debris dearing or
root tutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j