Meter Swap ' Request Number: 12737
Public works Division
Service Request
Prol�em Address: 7421 Uni�nersity A� Requested By: Aaron Peterson
lkp�rtme�: WATER ,�.�s: 7421 Umversity Ave
Fridicy,MN 55433
Probiem/Issue: INSTALL AMR METER Pho�Number: 507-202-2S35
3ehednled D�e: 2017-02-09 Scheduled 11�: 01:30:00
� a`�`' � �
A�C'IION 1vEEDED:I�t�ll AMR
Cre�ed by: Beth Kondrick Date Cre�ed: 201�-O 1-OS
� AGTION TAI�N:
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Shtus: Ia Progress Snb�itter Hs Heea C
Cautute�
D�e Completed: �� � �- �� Compteted by:
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�oiy�r rriaoey
Water�epart�reent ���p � S'y��v 40�" ��
, 6431 Universit�/Avenue NE
Fridley,MN 55432 �!� � �,�7
753-5723566 `J I �
l
�/�e hereby authorize the Cii}r of Fridley and/or its employees to do what is necessary to
replece the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per C'rty code 402.06) i also hold the C'rty of Fridiey and/its employees harmless for any damages that may occur while doing this
aperation. This to inciude,but nat 1im�ted to valves,piping,wa0s,floors or the curb stop box and senrice�ine. In understand 1 am also required
to obtain a permit prior to any wor�c,if necessary.
FBVAL NIETER READING(old meter) � ��� r� �U
Name: ► �w+"„� �Q.,��.�0� Address ���1 v� Q'�TJC-
Phone Number���"� �V L�'���J J p� `�"""� q, `~ t��
��i nature '��
Witness Signature
OLD METER# � / �� g���
OLD READtNG_� � �� � �U
NEW METER# �� ����� t
NEW READING �
ERT# �V UVV � � qq .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord ilio 113,464,�65,566,529,638,662,922,988,1144,1156,i191j
402.5 PERMIT FEE
Prior to constructing vr repair of any water of sewer line connecting the existing municipai system and arry house or building fo�which the
application is made,the owner or coritractor shatl be required to obtain a permit for such connection,and s[�ali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such wnnection and the work inciderrt thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEfYANCE TO COWNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line a�a water service lead has
beea extended to the property line for connection,tfie appiicarrt,owner,or accupant or user af such premises shall be liabie for all repairs
required to any water I�ne and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maicrtenance service or repairs be performed by the Cit}�,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaUy by an administrative poliry. It shatl be the responsibility of the applicarrt,
owner,occuparn or user to perform standard mairitenance of#he sewer service line from tHe premises to the main i�duding debris dearing or
root cutting and to maintain the water senrice curb stop box for operabil'rty and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)