Meter Swap �� Request Number: 13141
P'ublic Works Division
Service Request
Problem Address: 1533 Onondaga St Requested By: Anthony Bourdeaux
Departme�: WA'IER ��.egs: 1533 Onondagi St
Fridlcy,MN 55432
Probiem/Issue: INSTALL AMR METIIt Phone Number: 763-784-0778
Sched�iled Date: 2017-02-0 Schednled'11me: 11:00:00
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ACIION NEEDED:
Created by: Beth Ko�lrick Date Created: 201�-01-27
ACTION T
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Status• a�,, _. In Progress �bmitter Has Been �.
.�s:., Co�ttaected
�te Completed: Completed by:
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Z
uvase�-��sar�a�raent
6431 d�nHversi�tyr�,vea�aae NE Z . ,-t� ,
Fridley, M�F 55432 � �.� ' � ���7 / � ` �'�
753-572-3565 ,� � �-���
' ,O�e hereby authorize the City o#Frsdley andJor its empioy�#o sto wfiat is necessary to
' replace the water rneter. !understand that the property owner u tiabte for the yvater line from the main to the premise and all irnerior
plumbing. (Per City sode 402.06) i also hold the Cct�/uf Fridiey andfits employees harmless#or arry slamages thart may occur while doi�g this
operation. This#o include,but not limited to walves,piping,walls,floors or the curb stop box and service line. In understand 1 am atso requir
to obtain a permit prior to ariy wror4c,sf necessaey.
F1NAL METER READING okt met j i��--�"�
Name: r dre� �3
Phone Numbe
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Signature � Wi#ne�Signatur� "'�"—
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OLD METER#�� � V V �L"'�'
OLD READti1iG � 4�� Z�
NEW METER#�C/���ik�
NEW READIi1tG �
ERT# ` ��� ���
FRlDLEY ClTY CODE
CHAPTER 4Q2.WATER,STURM WATER AND SANiTARY SEWER
ADMtNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I156,1191j
402.5 PERMIT FEE
Prior to constructi�or repair of any water of sewer line connecting the existing munia�aal system and arry house or building for wbich the
appl�cation is made,the o�rner or contractor sha(1 be required to obtain a permit for such connection,and shall pay a permitfee a,prpvided in
Chapter 11 of#his Code. After such connection has beea made,fihe Water and Sewer Departmerrt shall be notified. it shail be unlawful to cove
any connecting(ine urrtil an inspection bas been anade and such connection and the wo�c inciderrt thereto has been aqproved Iry t{te C'�ty as a
proper and suitable conn,ection.
�02.06 REPAlRS AND MAIN't'EfYAJYCE TO COW111ERIOM
After#he inifiial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service Iead has
been extended#o the property line for connection,the applicarrt,owner,or accuparrt or user af such premises sha[t�liabie for a!�repai+s
required to any water line and sewer lines necessary for conrtection of the premises from the main to the premises. If the property owner
requests mairnenance service or repairs be performed by the City,the properly owner shali be charged for the tosts af the mainbenance and/or
repa3rs,including necessary y�treet repairs at a rate set annualty by an administratide poliry. Pt shal!be the responsbility of the appiicarit,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main ir�ludi�deb�fis deartng or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure tltat it remains above the ftnished
grade of the land or property. {Ref 638,1156,1191j