Meter Swap . Request Number: 12397
� Public works Division �
Service Request
Pro6lem Address: ?420 Van Buren St Requested By: James Schoffman
Depnrtment: WA1ER Address: 7420 Van Buren St
Fridley,MN 55432
Prob1em11ssne: INSTALL AMR METER P6one Number: 763-?84-?471
Schednl�d Date: 2017-01-03 Sehednled 1ime: 09:00:00
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ACTI�N NEEDED:Install AMR
Created by: Beth Kondrick Date G�aated: 2016-12-08
ACIION TAI�N:
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5tAtus: Ia Progress ���er Hag Been r
Contaeted
Date Completed: `"�� '' � � Compteted by:
�
City of Fridley �� � � , ` �
Water Department `�
6431 University Avenue NE
� Fridley,MN 55432 ����a-a-� y'1J��
? 763-572-3566
�Iwe hereby authorize the City of Pridfey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the praperty owner is liable for the water{ine from the main to the premise and all interior
pfumbing. (Per City code 402.06) 1 also hold the C'�ty of Fridiey and/its employees harmtess for any damages that may occur while doing this
operation. This to inciude,but not limited to valves,piping,waiis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if�ecessary.
FfMA4 ME7'ER READING(old meter� � � C� � �
R . L�
Name:��Ptiy"f�`�� �..�0'�"��'s.,c.►� Address �'`�L� UCcy^� �G.��"v Cj,1..
Pfione Number 1�3 ����� 6'( �� Date�� � � I I
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� Signature � !! WitneSs Signature
OLD METER# �� � � f � � �
OLD READING �� � G ��
NEW METER# 1� I { � V�' �U
NEW READING �
ERT# � V U � � � U� I
FRIDLEY CITY CODE
CHAPTER 442.WATER,STORM WATER AND SANiTARY SEWER
ADM1NiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191)
402.5 PERMtT FEE
Prior to constructing or repair of any water of sewer{ine connecting the extsting municipal system and any house or building for which the
application is made,the owner or co�ractor shalt be required to obtain a permit for such connection,and shali pay a pennit fee as provided in
Chapter 11 of tfiis Code. After such connectlon has been made,the Water and Sewer Department shatl be notified. It sha116e unlawful ta cover
any connecting line untii an inspection has been made and such connection and the wor{c incident thereto has been approved by the City as a
proper and witable wnnection.
A02.06 REPAIRS ANp MAINTENANCE TO CQNNECTIOPt
After the initial cannection has been made to the water service curb stop box or the sewer fead at the property line or a waier senrice lead has
been eztended to the property line fer wnnection,the appiicant,owner,or occupant or user of wch premises shal{be liable for aii repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premis�s. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mairKenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. R shall be the responsibility of the appli�at,
owner,occupant or user to perform standaM maintenance of the sewer service line from the premises to the main including debris dearing or
rvot cutting and to maintain the water service curb siop box for operability and at such height as wil{ensure that it remains above the flnTshed
grade of the land or property. {Ref 638,1156,1191}