Meter Swap � � Request Number: 12695
Public works Division
Service Request
Problem Address: 7616 Van Buren St Reqnested By: Brian Caden
Department: WA1EIt Addresa: No address provided
Probiemllesue: INSTALL AMR METER Phone Number: 612-719•8937
ScLedalodDate: 201'7-01-04 `., 5cl�daiedllme: 11:08:0�
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ACTiON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-03
AC"1ION TAKEN:
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y�V�-5$�t,��.�`��
Stxtus: In Progress Submitter Has Beea �
Co�scted
Date Completed: �' - l � `� Completed by:
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:
City of Fridley
Water Department � �� ���
6431 University Avenue AfE 3�� v t
• ` Fridfey, MN 55432 �r ��Y�
' 763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do wvhat is necessary to
replace the water meter. !understand that the p�operty owner is tiable for the water line from the main to the premise and a0 irrterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridtey and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,wafls,fioors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior ta any wor{c,if necessary. ,
FINAL METER READING(old meter) �`� / `c `� �
Name: ��Q-'✓�� �.�1%i.(���tf� Address l��� �Q,v� ��,✓L- �'j�-..
Phone Number ���- �� l �v ( J� Date �! r 1 �� 1
C ' ��
Signature Witness Signature
OtD METER# N�� �Z��
OLD READlNG
�5 ���7 �
NEW METER# �� V 1 � � ` l
NEW READING d
E�# � �S� �i �� �
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer{ine connecting tfie existing municipal system and arry house or butlding for which the
application is made,the owner or cornractor shatl be required to obtain a permit for such connection,and shall pay a permn fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shall be n�ed. it shall be u�lavvful to cove�
any connecting line urrtif an irtspection has been made and such wnnection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAiNTENANCE TO CONNEC770N
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water service lead has
been extended to the property fine for connection,the applicaM,owner,or occupant or user of such premues shalt be liabie for all repatrs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the�operty owner
requests maintenance service or repairs be perFormed by the City,the property rnerner shaii be charged for the costs of the matrttena+tce andJor
repairs,including necessary street repairs at a rate set annuaNy by an administrative policy. It shall6e the responsbility of the ap�sfiprrt,
owner,occupant or user to perform standard mairitenance of the sewer service liae from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop boK for operability and at such height as wiU er�sure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)