Meter Swap Request Number: 12558
Public Works Division
Service Request
Problem Address: 7358 Van Buren St Requested By: Hazim Cehic
Department: WATER Address: 7358 VanBurenSt
Fridley,MN 55432
Problem/Issue: IN5TALL AMR METER Phone Number: 612-227-2579
Scheduled D�te: 2016-12-29 Schednled'ISme: 02:00:00
Ur'��' C �'�- m
ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-23
ACTTON TAI�N: �
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Status: In Progress Snbmitter Has Been C, -
Contacted
Date Completed: �� ..� � � — �� Completed by:
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, • City of Fridfey
Water Department
6431 University Avenue NE � l���gyv --G�7
Fridley, MN 55432
763-572-3566 ��,
S C� l �t,�
I/we hereby authorize the City af Fridfey and/or its employees to do what is necessary to
replace the water meter. 1 understand that tfie property owner is liable fo�the water line from the main to the premise and a{f irnerior
ptumbing. (Per City code 402.06) 1 also hold the City of Fridtey andJits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,ftoors u�the curb stop box and service line. in understand 1 am also required
to obtain a permit priar to any work,if nesessary.
FINAL METER READING(old meter) � • �� � �
Name:_J V"�Z { � �.e V��� Address � � � TJ '`�-V'1 �F7u-Y`�X�- � .
Phone IYumber ��'�+ 2'����J ` 6 p� I� � � l.��� '
/�C' Signature_-�D��t.�,. �IA/(.C. Witness Signature �-
✓ `
OLD METER# � � C� � V � � �
OLD READING � 1 � I �U
NEW METER# Lr� I � �� J �
NEW READING �
ERT# �0 � �� �� W � ,
FRIDLEY C{7Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710A1
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
' 402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipaf system and any house or buildir�for which the
applicatian is made,the owner or contractor shall be required to obtain a pe�mit for such wnnestion,and shafl pay a permit fee as provided irr
Chapter il of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. !t shall be unlawful to c.over
any connecting fine until an inspection has been made and such cflnnection and the work inciderrt thereto fias been approved by the City as a
proper and suitable connection.
4U2.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the property line or a water service lead has
been eutended to the property tine for connection,the applicarrt,owne�,or occupant or user af such premises shaN be liabie for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the pro�rly awner
requests mairitenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maiMenance and�or
repairs,including necessary street repairs at a rate set annually b�t an administrative pol9ry. R shalt be the responsibifity aF the applicaM,
owner,occupant or user to perform standard mair►tenance of tfie sewer service tine from the premises to the main Indudi�debris dearing or
root cutting and to maintain the water service curb stop box for aperability and at such heigfit as wi8 ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)