Meter Swap ' Request Number: 13085
Public Works Division
Service Request
Problem Addresa: 1410 W Danube Rd Requested By: Mike Daher
Deputment: WA'IER Address: No�ress�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-245-9206
Schedeiled�Uxte:_ 201�-01-31 5c6eduled 11me: 01:30:00
� �� 1S� I !
ACIION NEEDED:
,
Cre�ted by: Wendy Hiatt Date Created: 2017-01-26
ACIION TAI�N:
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Status: In Progress Sabmitter Haa Beea r,
Contacted
Date Completed: � _ ?�,.��`� Cot�eted by: ��+I e
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Water�epartexaent
6�31 University Averaue PIE
Fridley, MN 55432 �a"���j7//� �� � /
, 763-572-3565 �� �'3 I �]
1
' t/we herefoy authorize the C"rty�f Fr�dley and/or its emptoyees to do what is necessary to
replace the water meter. 1 vnderstand that fihe properly owner is liabte for the water line from the main to the premise and all interior
piurr�bing. (Per City code 402.06) i also hold the C�ty of Fridley andrts employees harmless#or eny damages that may occur while doing tf�is
operation. This to include,but not lim'rted to valves,piping,walis,floors or the surb stop box and service tine. In understand!am also require�
to obtain a permit prior to any rvoNc,af necessary.
FIWAI.METER READING(oict meter) � �"'� " � �
Name: �� 'e. V�A�,� Address � ��v W � U J a�'l1/�'�� �C.
Pl�one Number ��4- r' Z 6 — `12�3� p� ��3 f'" v�
��(� �
��=���re Witness Signature �
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:., OLD M�7'ER# ���� S��S
OLD READtNG � � f � +'�
� U � ���''
NEW METER# � � J � ! �,f J�
1��.
NEW READING �
ERT# � � VZ � 1 � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191j ,
402.5 PERMIT FEE
Prior to constructing or repair of any water of�wer line c�onneciing the eacisting muniiapal system and arry hause os buildir�for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in•
Chapter 11 of#h�s Code. After sucfi connection has been rnade,the Water and Sewer Departmerrt shatl be notified. 1t shatl be untawful to cover
any con�ecting line until an inspection has been made and such connection and the worlc inciderrt thereto has been approved by the Crty as e
proper and suitabte connection.
402.05 REPAIRS AND MAINTENANCE TO COMNEC'1'ION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service kad has
been extended to the property line for connectian,the appiicant,owner,or accupant or user of such premises shafl be 1labie for all repairs
required to any water I�ne and sewer Itnes necessary for connection of the premises from the main to the premises. !f the property owner
requests mairitenance service or repairs be performed by the City,the property owner shail be charged for the sosts of the mairrterrance andJor
repairs.incfudirtg necessary street repairs at a rate set annualty by an administrative poiicy. It shatt be the responsibitity af the appiicarrt,
owner,occuparrt or user to perform sfiandard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade af the land or property. (Ref 63$1156,1191j