Meter Swap 3i�.� - ��3 �yv _ ��
.� ' Request Number: 12344
Public Works Division S� I ����
Service Request
Problem Addreas: 7556 Van Buren St Requested By: Anu Miller Bovuers
Departmeut: WA'IER Addresa; No:�ddr�ss pro�ded
Problem/Isaus: INSTALL AMR METER Phone Number: 763-785-0325
Scied�la Dxts: 2016-12-07 Sci�doled 1lme: 09:00:00
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ACITON NEEDED:AMIt
Cres�tad bj+: W�ndy Hiatt Dnte Created: 2016-12-05
AC'Ii01'��A�N:
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Stxt�: In Progress Submitter Has Bean �,
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Hiatt, Wendy
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Subject: Ann Miller Bowers 763-785-0525 AMR instali for stopped oid water meter
Location: 7556 Van Buren St
Start: Wed 12/7/2016 9:00 AM
End: Wed 12/7/2016 9:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
i
City of Fridley
, Water Department
' 6431 University Avenue NE
Fridley, MN 55432
753-572-3566
f/we hereby authorize the City of Pridley and/or its employees to do what is 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 iMerior
plumbing. (Per City code 402.06) I also hold the C'ity of Fridley and/its emp�oyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves.piping,walls,floors or the curb stop box and serv'sce line. {n understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� � r��
Name: �Il ���e r ��(9W'� Address ����¢ '��� 1�Ji�-(r'e'1'\ �jT
Phone Number t�3 "" v J '�v��J Date ��� � � t �
Signature Witness Signature
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.
OLD METER# � 7 ✓� � � �j
OLD READING � t 3 � � -1 � '
NEW METER# �� � I � � � �
NEW READlNG v
ERT# Cp 8� � � � � �
FRIDLEY CITY 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 any water of sewer Itne connecting the existing municipal system and any house or building for which the
application 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 unlawful to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewe�lead at the proQerty line or a water servics lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to a�y watec line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is ciearing or
root cutting and to 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)