Meter Swap � Request Number: 12602
Public works Division
Service Request
Problem Addresa: 7666 Van Buren St Requested By: Justin
Deputme�: WA'IER Addreas: 7666 V�Biuen St
Fridley,MN 55432
Problem/Issue: INSTALL AMR ME'IER Plwne Number: 715-450-9453
3c6ednled Date• 2016-12-30 Sc6edaled'I1me: 11:30:00
� p�......% � , ,�� �
�,'
AC'IION NEEDED:Install AMR
Created by: Beth Kondrick Ds�te Created: 2016-12-2�
AGTION T.4KEN:
��,Sa� [ l� � �-v�.:C�.�
Status: In Progress Sabmitter Ha`Been �
Contscted
Date Completed: �a� 3�� ,� Completed by: ��
. f
V�
.
City of Fridiey
Water Department
, - 6431 University Avenue NE
� Fridley, MN 55432 � J �--s�3�-3v �c�`
763-572-3566 �lti [ ����
li �
�IWe hereby authorize the City of Fridley and/or its employees to do what is necessary ta
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 4fl2.06) 1 also hold the C'tty of Fridfey andJits employees harmless for any damages that may accur while doing this
operation. Tfiis to incfude,but not limited to valves,piping,walls,floors or the curb stop hox artd service lioe. In understand 1 am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) r� L� � �""` 4-��`j
Name: ��+'-��`� Address / LJl� � v t�h �tM"'� ��>
Phone Number � '� ~ 1�d — 1 �� p�e �;a.-- �� � t�0
��nature ��`�
Witness Signature
OLD METER#_� �'� ��C,) �-`/�
OLD READtNG _ ��� �� l.5'" ��
NEW METER# �� � 1 � � ` I
NEW READiNG �
ERT# � ��� �4` I `� ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND 5ANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566�629,638,662,922,985,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting ihe existtng municipal system and arry house or buildir�for whkh the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shaii pay a permi#fee�provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartment shall be notified. tt shaN be uniawfui to cover
any connecting line until an inspedion has been made and sucfi connedion and the work incident thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTlON
After the inrtiaf connection has been made to Che water service curb stop box or the sewer lead at�e property l[ne or a wates s�rvice lead h�
been extended to the property line for connection,the applicant,owner,or occupatrt or user af such premises shaii be liabie for ail repairs
required to any water itne and sewer lines necessary for connection of the premises from the main to the premises. ff the propertr owner
requests maimenance service or repairs be performed by the Clty,the properly owner shall be charged for the�sts af the matrrtenance and/or
repairs,including necessary street repairs at a rate set annually by aa administrative poliry. It shalf be the responsibility af the applipnt,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and ta 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)