Meter Swap Request Number: 12876
Public works Division
Service Request
Problem Addreas: 7305 Van Buren St Requested By: Steve Martins
Depstrtme�: WA1ER Address: 7305 Van Buren 5t
Fridiey,MN 55432
ProMem/Isaue: INSTALL AMR ME1ER Phone Numbers 763-?83-9163
Scheduled Date: 2017-0 -Z 1 Scheduled 1lme: 08:t10:00
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ACTION NEEDED:Install AMR
Created by: Beth Kot�rick Date Crented: 2017-01-13
ACI'ION TAI�Ns
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Statua: 1n Progress Submitter H�s Bec� r, � :�i
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Date Completed: Completed by:
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Li�/or rreaoey
Water Department
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. Fridfey, MN 55432 v
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��'"�e hereby authorize the Ciiy of Fridley and/or its employees to do what is necessary to
replace 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 City code 4U2.06} i also hoid the�ty af Fridley andJits employees harmless for any damages that may occur white doing this
operation. Tfiis to inciude,bufi not limited to valves,piping,wails,floors or the curb stop box and service line. In understand!am a{so required
to obtain a permit prior to any worlc,if necessary.
FINAL METER READING(old meter) � � � ' � ��
Name:�l`-^« ' W� �� Address � C��� `�"�' ` �V V � ` v�
PhoneNumber /fo���U J-`�{ � l'� J Date I •- ��_ � �
Signature Ntitness Signature
OLD METER# ���� � y � v
OLD READtNG (_ )S � ` � �O
NEW METER#_ i � �' fJ� Z_� �
NEW READtNG [J
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FRIDLEY CITY CODE
CHAPTER 402.WATER,570RM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,565,629,638,652,922,988,1144,1156,1191)
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402.5 PERMIT FEE
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Prior to constructing or repair of any water of sewer line connecting the existing municipaf system and arry hause or building for whFch the
epplicafiion is made,the owner or contractor shalf be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. IC shall be unla�wful to covev
any conneding line until an inspedion has been made and such connection and the work inadent thereto has been aqproved by the C'ity as a
proper and su'rtable connection.
402.06 REPAlRS AND MAINTENANCE TO CONNEC770W
After the+nitial coonection has been made#o the water serv�ce aarb stop 6ox or the sewer lead at the property line or a water serv�ce lead fias
been extended to the property line for connection,the applicarrt,owner,or accuparrt or user of such premises shall be liabie for a41 repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. {f the property owner
requests maintenance service or repairs be performed by the City,the property owoer sha{i be charged for the costs of the mairttenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrafiive potiry. It shail be Che responsibility of the applicarrt,
owner,occupant or use�to perform standard maintenance of the sewer service line from the premises to the main includin�debris clearing or
root cutting and Co mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remains ahove the finished
grade of the land or property. (Ref 638,1156,1191)