Meter Swap ` Request Number: 12806
Public works Division
Service Request
Problem Address: 7531 Uni�ersity A�e Requested By: Dean Bcrg
Depxrtment: WATER Address: 7531 Um�zrsity Avc
Fridley,MN 55432
Problem/taaae: INSTALL AMR METBR Phonc Number: 763-229-483?
Sc6eduled Dsite: 2017-01-13 Scl�dated 11me: 11:00:00
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ACIION NEEDED:
Created by: Beth Koud�-ick Date Cre�td: 2017-01-09
ACIION TAI�N: u �
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StRtus: In Progress ��n$r Aas Been �,
Contacted
Date Completsd: �,-� l�`-�,� Compieted by:
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. City of Fridley �� i C{ ��
• Water Department < <
� 6431 University Avenue NE ��3v..� t
Fridley, MN 55432 �� t°'S
763-572-3566
1/we hereby authorize the City of Fridtey and/or its employees to do what is necessary to
rep{ace the water meter. 1 understand that the property owner is iiable fo�the water line from the main to the premise and alt inte�ior
plumbing. (Per City code 402.06) I also hold the City of Fridley andjits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walts,floors or the curb stop box and service line. In understand!am also required
to obtain a permit prior to any work,if necessary.
FIMAL METER READING{old meterj � � � ���
Name: l,� � Address 1 ��� �r 1�� V V ��{� �l. '
Phone Wumber _�� `��� Date �� ���'�
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ignature Witness Signature
OLD METER# �t.J ``/ " ��� ( j��r
OI.D READING �� V C�/`�
NEW METER# �� L� � ✓ � `
NEW READING V
ERT# � ���v � � (
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMINISTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144�1156,1191)
402.5 PERMIT FEE
Drior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit fo�such connection,and sha{I pay a permit fee as provided in
Chapter 11 of this Code. After such connection fias been made,the Water and Sewer Department shall be notified. It shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
40Z.06 REPAfRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been exte�ded to the property line for connection,the applicant,owner,ar occuparit or user of such premtses shall be liabie for ali repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be pe�formed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,incfudin�necessary street repairs at a rate set annually by an administrative policy. tt shali be the responsibility of the appii�rrt,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such fieight as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
,