Meter Swap ,
Request Number: 16447
Public Works Division
Service Request
Problem Address: 5501 W Danube Rd Requested By: Corey Lohman
Department: WATER Address: No address�ovided
ProWem/Issue: INSTALL AMR METER Phone Number: 763-571-1497
Scheduled Date: 2017-07-26 Scheduled'IPme: 0130:00
C� �` �'3b
ACITON NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-24
ACTION TAI�N:
Status: In Progress Submitter Has Been r.
Contacted
Date Compieted: Completed by:
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r. ; C� of Fri .Y�r�.r � l /���' ��
ty dfey � ���/�i
Water Departratent �
6431 University Avenue NE
Frodley,MN �5432
763-572-356fi
Ijwe hereby authorize the City of Fridtey and/or its empioyees to do what is necessary to
rep4ace the water meter. 1 understa�d that the properly owner is liable for the water line from the main to the premise and att interior
pium6ing. (Per City code 402.a6) !aiso hold the City of Fridiey andrts employees harmless for any damages that may occuc while doing this
operation. This to include,but not{imited to vaives.piping,watls,floors or the curb stop box and senrice liae. in undecstand f am also required
to obtain a permit priar to am/work,if necessary.
FINAL METER READIM6(old meter) �� ���
Name• ����n Address ��o' � �� '^
Pfione Wumber � ����t~��"7" / �pate !� L�^ � J
/�S�g�=e Witness Signature
OLDMfTER# R`—�FfT ��i �
OLD READlNG ���� �
NEW METER#__" 1 1���� J�
NEW READIiVG�
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E�# �,��-t I ����
FRIDLEY CITY CODE
CHAPTER 4aZ.WA�ER,STORM WATER AND SANITARY SEWER
ADMIN{STRATIOM
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,I191�
402.5 PERMIT FEE
Prior to consCructing or repair of arry water of sewer iine wnnecting the existing municipai system and arry house or buiiding for whish the
appfication is made,the owner or cvrrtractor shall be required to abtain a permit for such connection,and shatl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Wate�and Sewer DeparCmerrt shall be notif'ied. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the wo�lc incident thereto has been approved by the City as a
groper and suitable connection.
40Z.06 REPAIRS AND MAINTEPtANCE TO CONNEC710N
After t(ie initial connection has been made to the water service wrb stop box or the sewer lead at the praperty line or a watec service tead has
been extended to the properiy line for connection,Che appiicant,owner,or occuparrc or user of such prernises sfiall be{iable for ail repairs
required to any water tine and sewer lines necessary for connection af the premises from the main ta the premises. If the groperty owner
requests maintenante service or repairs be performed by the City,the property owner shall be char�ed for the wsts of the maiMenance ar►d/or
repairs,including necessary street repairs at a rate set annuaity by an administraCive poliry. ft shatl be tfie responsibility of the applicarrt,
owner,occupant or user to perform s#andard mair�tenance of the sewer service line from the premises to the main includirg ctebris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)