Meter Swap .
~ Request Number: 12442
Public works Division �
Service Request
Problem Addreas: 7461 Van Buren 5t Requested By: Roger Nyhus
Department: WA1ER Address: No address provided
Problem/Isa�: INSTAI.L AMR METER Phone Number: 612-306-3771
Sc6edaled Dnte: 2016-12-27 5chedaled'Ilme: 07:Q0:00
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ACIION NEEDED:AMIt
Created by: Wendy Hiatt Date Created: 2016-12-14
ACIION TAt�N:
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Stat�: 1n Progress Sabmitter Has Bcen r,
Coutacted
Date Completed: ��— ���. ' �.� Completed by: / ,�'
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City of Fridley ��� - S�3 b 3 0 � Oc`�--
, Water Department
, 6431 University Avenue PIE
Fridley,MN 55432 ( „
763-572-3566 S� ( � � �'��
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace tfie water meter. 1 understand that the properly owner is tiabte tor the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the C'rty ofi Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but nat limited to valves,piping,walls,floors or the curb stop box and service line. In understand l am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj ��� ��T_1�
Name• �G C`� ►� � ��4,5 Address / �� � V Cti,� �j 1.�,I"G�. S'�"
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Phone Number � '�� ���' � ✓ ��� Date 4� � �� � '�
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�Signature lAlitness Signature ��...
`��' �555 , �.
OLD ER#
OlD READING .�����
NEW METER# �'�I, I� �� �� -
NEW READING �
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�RIDLEY C{TY CODE
:� CHAPTER 402.WATER,Sl'ORM WATER AND SANI7ARY SEWER
ADMIN{STRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constn.�cting or repatr of any water of sewer line connecting the existing municipal system and arry house or buildir�for whid�the
appiication is made,the owner or corrtracto�shall be required to obtain a permit for such connection,and shall paY a permit fee as provided in
Chapter 11 of this Code. After wch connectlon has been made,the Water and Sewer Department shall be not�ed. It sfiaii be unlawFui to cover
any connecti�g line untit an inspection has been made and such connection and the work incide�t thereto has been approved by the City as a
proper and suitabfe connection.
402.06 REPAlRS AND MAINTENANCE TO CONNECTION •
After tfie initial connection has been made to the water service curb stop box or the sewer{ead at the property line or a water service lead has
beea eutended to the property fine for connection,the applicant,owner.or otcupar�t or user of wd�peemises shal{be liable far a!I 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 mairnenance service or repairs be performed by the City,the property owner sfiali be charged for the costs af the mai�enance and/or
repairs,inciuding necessary street repairs at a rate seC annually by an administrative poliry. It shali be the responsibility af the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root cuttin�and to mairrtain the water service curb stop box for operab+lity and at such height as will ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)