Meter Swap � Request Number: 12981
Public Works Division
Service Request
Problem Address: 7501 Van Bwen St Requested By: J�y Schulz
Departmernt: WA'IER Address: No a�iress provided
Problero/Iasue: INSTALL AMR METER Phone Number: 763-786-9202
Scheduled Dst�: 2017-01-23 -J Sc6edaled 11me: 08:00:00
V�'�
ACIION NEEDFD:
Created by: Wendy Hiatt Dats Cre�ed: 2017-01-20
AC'IION TAI�N: � '` M �
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5ta�tua: In Progress Snbmitter Ha�Been r,
Cant�ted
Date Completed: Completed by:
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4llate�-�e�sartrnent
5431�Dniversity�Avenue NE ������-�,��y�vC
Fridley,MN 55432 /'
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�IWe hereby authorize#he Cifij af Ertdley and/or its empioyees to a!o whafi is necessary to
rep�ace#he water rneter. !understand that the properky owner is liabie for the avater line from ihe main to the premise and ai{irrterior
plumbir�g. {Per City s.ade 402.06) i aiso hold the Ciiy of Fridley and/its employees harmiess for anp damages that may occur whife doing this
operetion. This to inctude,but not limrted to valves,piping,walls,floors or the curb stop box and service line. fn understand!am also require�
to obtain a perm'rt prior to any work,if aecessary.
FN11AL METER REAOING(old meterj �� 1 � � �
lVame: J� � �''�' � V `2_ Address J �� 1 VC�.N �'��'�`r1 ��
Phone Num6er ?��'� 'L�'��""� Dafie r� ' '-^- � �1 �
Signature r "" � Wftness Signature_
C?LD METER# � ��� ��g �
OLD READtlVG ���� ��
RIEW METER# �� rI �— 1 ` �
NEW READING �J
ERT# Y,��(,J� " t���
FRIDLEY CITY CODE
CHAP3ER 402.WATER,SCORM WATER AND SANITARY SEWER
ADMINISTRA7'ION
(Ref Ord R10 113,464,565,566,529,638,562,92Z,988,1144,I156,1191)
402.5 PERMIT fEE
Prior to constructing or repair of any water of sewer line wnnecting the existing municipai system and a+�y house oc building for which the
applicafiion is made,the owner or corrtractor shali be required to abtain a permit for such connection,and shail pay a permR fee as prouided irr
Chapter 11 of this Code. After such connection fias been made,the Water aad Sewer Departmern shafl be notified. It shafl be unlawful to cosrer
any connecting line untii an inspection has been made and such conned+on and the wor�c inaderK thereto has iseen apprv�ed by the City as a
proper and su'rtable connectivn.
402.06 REPA{RS AND MAINTENANCE TO CONNEC7'ION
After the initia!connection has been made to tfie water service curb stop bax or the sewer lead at the property line vr a water senrice lead has
been extended to the property line for cflnnection,tfie appiicar�t,owner,or accupant or user of such premis�s sFialf be liable for afi re�airs
required to any wa#er iine and sewer ti�es�ecessary for connettion of the premises from the main to the premises. tf the property oMrner
requests mairrtenance service or repairs be performed by the City,the proper#y owner shail be charged for the costs o#the rnai�+tenance and/or
repairs,including necessary street repairs at a rate set annuai(y by an adrninistrative policy. ft shaii be the responsibilTty of the appRcas�t,
owner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to tfie main induding debris dearing ar
root cutting and to maintain the water service curb stap box for operability and at such heigtrt as wil!ensure that it remains above#�e flnished
grade of the land ar property. (Ref 638,1156,1191j