Meter Swap �� µ Request Number: 12398
Public Works Division
Service Request
Problem Address: 7411 Van Buren St Requested By: David Bn�11
Department: WATER Address: 7411 V�Buren St
Frid1Gy,MN 55432
Problem/Isaue: INSTALL AMR ME'IF.R Phone Nember: 612-223•0']S2
Scheduled D�te: 2016- -31 Scheduled Time: I 1:00:00
S7
ACTiON NEEDED:Ivstall AMR
CreAted by: Beth Korxirick Dsite Crsstted: 2016-12-U�
AC'IION TAKEN:
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-�: ..�:
Status: In Progress ���er Has Been r,
Contacted
Date Completed: '�'Z �- 3 j ��� Completed by: '� .
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i,
City of Fridley r
` Water Department ��+ t � � �
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6431 University Avenue NE �
Fridley,MN 55432 �) ( ,��c�����
753-572-3566 `P
1/we hereby authorize the City of Fridley and/vr its employees to do what Is necessary to
repface the water meter. 1 understand that the property owner is liable for the water line from the main to tfie premise and all interior
piumbing. (Per City code 402.06) 1 also hold the City of Pridley andjits employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to�a{ves,piping,waits,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 METER READING(old meter � ✓ "" C'� � ��
�
Name: av i� � �''�iV� Address ��� 1 V�-�I ��`'��'� ��
Phone Number `�'4�Z'— �"�J Y�7�� Date ��^��s � C
, Signatur� ! .--�� Witness Signature l^
OLD METER# �-�'� l G C�`��'"�
OLD RfADING �� �� �v
NE1N METER# �I�l�I �S �5
NEW READING �/
ERr� Co ���o �� '
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMfN15i'RATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructtng or repair of any water of sewer line connecting the existing municipai system and arry house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit far wch connection,and shal!pay a pertnit fee as provided in
Chapte�11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shalt be notified. It shatl be uniavvfu{to caver
any coenecting line until an inspection has been made and such connection and the work incident thereto has bee�approved by the City as a
proper and suitab4e connection.
402.06 REPAIRS AND MAfNTENANCE TO CONNECTION
After the fniNaf connection has been made to the water serv�ce curb stop box or the sewer lead at th�property line or a water service lead has
been extended to the property ilne for connection,the applica�rt,owner,or occuparit or user of suc�premisEs shal{be lial�e for afl repairs
required to any water line and sewer lines necessary for connection of the premises frcm the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs af the mairitenance and/o�
repairs,including necessary street repairs at a rate set annuaily by an administrative pol'scy. It shal!be the responsibility of the applicant,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main induding debris clearing o�
root cutting and to maintain the water senrice curb stop box for operability and at such height as wi{I ensure tfiat it remains above the fiaished
grade of the land or property. (Ref 638,1156,1191j