Meter Swap . • Request Number: 12402
Public Works Division
Service Req�st
Problem.4ddress: 7389 Van Buren St Requested By: Wendy Downie
Department: WATER A,ddress: No add��ess provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-792-9066
Scheduled Date: 2016- Schedaled Time: 01:30:00
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ACITON NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-12-08
AC1iON TAI�N:
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Status: 1n Progress ���er Aas Beeo r
Coatacted
Date Campleted: ,2„--' 'l!� `� � �(/ Com�eted by:
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City of Fridley � � � � � �
. Water Department
6431 University Avenue NE � ,�
; Fridiey,MN 55432 ��� (0-5� '�
763-572-3566
llwe �+��1�1! f��' t,�J P�'f Y� hereby authorize the City of Fridley andf or its employees to do what is necessary to
replace the water m er. 1 understa�d that the property owner is liable for the water line fro�n the main to the premise and ali interior
plumbing. (Per City code 402.06) 1 alsv hold the City of Fridley andjits employees harmiess tor any damages that may oaur while doing this
operation. This to include,iwt not{imited to vahres,piping,walls,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL ME7ER READING(old meterJ i, � ��� � `�'
Name• ����� dl�V ,1� Address 7J �� �uV'�. 1�1,i11�V� S�'.
Phone Number ��3 �? l Z — !�� VJ Date ��— �� r 1 �
�Signature l,� �a��Gu.1l,C.��, Witness Signature �a�/ ���.
✓ �
OLD METER# I �� � �����
OLD READiNG l I �J � ( C,
NEW METER# � � � 1 �� 1- /
NEW READiNG V
ERT# 10 � � � ( J � v ,
FRIDLEY CIT1f CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERM{T FEE
4
Prior to constructing or repair of any water of sewer tine connecting the existing municipaf system and any house or butlding for�rfii�he
application is made,the owner or co►rtractor shall be required to obtain a permit for such connecNon,and shall�ay a permit fee as prov;ded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewec Departmesrt shall be notif'red. tt sfiaff be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property(ine or a water service lead has
been extended to the property li�e for connect"son,the appiicartit,owner,or occupant or user of wch premises shall be liable for a!1 repairs
required to any water line and sewer lines necessary for connection of the premises trom the main to the premises. ff the property cwr�er
requesu mair�tenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mainterrance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrative poliry. it shall be the responsibil'rty of the applicant,
owner,accupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris cle2tring or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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