Meter Swap . Request Number: 12385
Public Works Division
Service Request
Problem Address: 7600 Van Buren St Requested By: Brian Benesch
Deps�rtment: WATER Address: No address provided
Problem/Isaue: INSTAI,L AMR METER Phone Number: 612-298-7228
Sched�iled D e: ` 2016-12- 9 � Schednled 1lme: 07:30:00
_j�-� � ��
ACIION NEEDED:t1MR
Crexted by: Wendy Hiatt Date Cres�ted: 2016-12-08
ACIION TAKEN:
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Statu�: In Progcess Submitter Has Beea �.
Cout�ted
Date Completed: Compieted by:
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City of Fridley � � �l' �
Water Department � �
6431 University.Avenue NE
� Fridley, MN 55432
763-572-3566 3���-S�3i �����
�/We hereby authorize the City af Fridiey and/or its employees to do what ts necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL M R READING(old meter) "� � `1
Name: �1)��'�' �� `GSC"` Address ��vD �C.� l �
Phone Number �I � �" ` � Date I �� � � ��
,� Signature Witness Signature �/1/-- ~��
OLD METER#_I C/� L� `�� �(,e�--(� j�!�&a—�^''►���
OLD READING � I ✓ � � �V
NEW METER# � 7 L I����
NEW READING �
E�# � ��� �56q �
FRfDLEY CITI CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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 arry wate�of sewer line connecting the existing municipal system and any house or buiiding for which the
appllcation is made,the owner or contractor 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 such connection has been made,the Water and Sewer Department shall be notified. It shall be uniawful to wver
any connecting line untii an inspection has been made and such connection and the work inciderrt thereto has been apprrnred by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOIY
After the initial connectio�has been made to the water service arb stop box or the sewer lead at the property line or a water service lead has
been eztended to the property line for connection,the applicant,owner,or occupaM or user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the properly owner
requests maintenance service or repairs be perFormed by the City,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remair�s above the finished
grade of the land or property. (Ref 638,1156,1191)