Meter Swap �. P Request Number: 13109
Public Works Division .
Service Request
Probiem Address: 5528 W Danube Rd Requested By: Deborah Si�n
Department: WA'IER Address: No acklress provided
Problem/Issne: INSTALL AMR METER Phone Number: 763-205-9184
Schednlg�te:— 2017-01 Schednled'Ilme: 0130:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2017-01-26
AC"[ION TAI�N•
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St�kas: In Progress ���er Has Beea r
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DAte Co�eted: Com�ehd by:
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�/"°e here(oy authorize#he C'rty o#Fridley and/or its empioyees to sfo what is necessary to
replace the water rneter. 1 understand ti�at the property owner 6s liable for the water line from the main to the premise and all irnerior
p4urrrbing. (Per C�ty cosle 402.06j i aiso hold ti�e�ty af Feidiey and/'m employees harmless#or eny slamages that may occu:while doing this
opew�rtion. This to 9ncluc�e,but not limited io vatves,p�ping,waUs,floors or the curb stop 6ox and service line. In�nderstand 1 am also requir
to obtain a permit prior to arry jera-�c,if necessary.
FIRlAL METER READIWG(okt meter) s�� .J � ✓ L.J
l�iame: � Addre���?��/v L��'�^�'�'
Phone Number [�CJ ()" (�'����� ``3 � 1�
Signature . INitness Signature
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FRIDLEY CITY CODE
CHAPTER 402.WAITER,STORM WATER AND SANiTARY SEWER
ADMIAIISTRATION
(Ref Ord 61io 113,464,565,566,629,638,662,922,988,1144,i15fi,1191}
402.5 FERMIT FEE
Prior to constructing or repair of arry water vf sewer Rne conneding the euisting munia�i system and arry house or buiWir�for which the
application is made,the owner or corrtractor shatl be required to obtain a permit far wch connection,a�d shall pay a petmit fee as�rovided Frr
Chapter 11 of this Code. After such connection fias been made,the Water and Sewer Departme�shall be nottfied. !t shall be unlawfui to cove
arry connecting line unfi�'1 an inspection has been made and wch connection and the wo�lc inciderrt thereto has been approved by the C'Ry as a
proper and suitabte connection.
402.06 REPAiRS AND IIItA1f1iTElyqNCE TO CONNECTION
After the initial connectio�h�been made to the water senrice curia stop 6ox or the sew�er lead at the propecty line a-a water senrice Iead has
been extended#o the property line for connection,the appiicarrt,owner,or accupar�t or user oF such premises shaq be NaMe for all reepairs
required to any water 1�ne and sewer lines necessary for connection of the premises from the mai�to the prem�es. tf the propery;y owner
requests mairrtenance service or repairs be perFormed by the City,the property owner s(�ail be char�ed for the�af the mairt�nance andJor
repairs,including necessary s�treet repairs at a rate set annually!�an administrative policy. Ft shali be the responsibility of the applicant,
owner,occuparn or user to perform standard mairttenance of the sewer senrice Iine from the premises to the main i�cfut(ir�deb�is dearing or
root cutting and to mairrtain the water service svrb stop box for operability and at such height as will ensure that it rernains above the finished
grade of the land or property. (ttef 638,1156,1191j