Meter Swap -• � Request Number: 12686
Public Works Division
Service Request
Pro�em Addrees: 7471 Van Buren St Requested By: Cacisse Ar�rson
Department: WA1ER Addree:: No addresa provided
Pro�emlIs:m: INSTALL AMR METER Phone Nnmber: 763-785-8121
SchedeledDxte: 2017-01-10 � Scbednledllme: Oi:00:Of1
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ACTION NEEDED:
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Created by: We�y Hiatt Date Created: 2U17-01-03
AC,TION TAI�N:
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Statua: In Progress Snbmitter Hat Been �
Contnetsd
1?ate Compteted: {� �� -- �� Completed by: ,
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City of Fridley
Water Department ��� -- 5,2,3 Q;j� " �v�
6431 University Avenue NE
'` Fridiey,MN 55432 � � O � /
� 763-572-3566 S O �
�IWe hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. t understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per C�ty code 402.06) f aiso hoid the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,wails,floors or the curb stop box and service line. in understand 1 am also requlred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ` �� ��
Names��0��1 c�J'�, ��k' "__�O�°� Address ` "� \ v C�� �V�N`t� �_
Phone Number��4�— L�� `�1�' Date �� �� r C�
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�f Signature ` Wiiness Signature �
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� '�� OLD METER# _� l� 1 �.�� �
OlD READING _V���,j a
NEW METER# �� �I��� t
NEW READING d
ERT#U/VU� y�� �
FRiDLEY CITY CODE �
CHAPTER 402.WATER,S70RM WATER AND SANITARY SE1A/ER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and a�ry house or buiWing fot�which the
appiication is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee�provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be��ed. It shall be untawful to cover
any connecting line until an inspection has been made and such connedioa and the work inciderrt thereto has been approved by the Cttq as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia{connection has been made to the water service curb stop box or the sewer tead at the properly line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or accupant or user af such premises shall be IiaWe for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mair�tenance service or repairs be performed by the City,the property vwner shall be cha►ged for the costs of the maintenance and/or
repairs,including�ecessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standard roairrtenance of the sewer service line firom the premises to the main including debris ciearing or
root cutting and to mairrtain the water senrice curb stap box for operabil'rty and at such height as will ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)