Meter Swap i ��..
, Request Number: 12420
Public works Division
Service Req�st
Problem Address: 7460 Van Buren St Requested By: Kathy Kroska
Department: WA'IER A�ddress; No address provided
Problcm/Iss�: INSTALL AMR ME'IER Phone Namber: 763-784-0157
Sched�de�Date: 2016-12-13 Schedulcd Tlme: 09:00:09
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ACTION NEEDED:AMIt
Cre�ed by: Wendy Hiatt DaEc Croated: 2016-12-12
ACIION TAKEN:
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Shtus: In Progcess SuMoitter H�s Bee� r,
Co�scted
Date Coe�leted: ��— 1� —' l t(j Completed by:
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City of Fridley � � � � � C�
Water Department
� 6431 University.Avenue NE
s Fridley, MN 55432 � ����'"�-��(j--c.'�
763-572-3566
�/We �L'�'l�`� hereby authorize the City of Fridley and/or its employees to do what is necessary ta
replace the ater met . 1 understand that the property owner is liabie for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the C'ity 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 aod service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
F{NAL METER READING(o{d meter) ✓ � � � I � �
Hame: �,�I ��+V`�i 5�� �►ddress ���5� ��t�.v� �J�'�`�h ��
Phone Number �%�� �� —� (� Date �Z'" '� ��
� ��.
Signature �– Witness Signature_?
OLD METER# ��� � ` � `
OLD READING � � � 1 � t�
NEW METER# �7 �1 �� c�3
NEW READING C�
ERT# ���� I `���
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANI7ARY 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 line connecting the existing municipal system and arry house or buiiding for which the
application is made,the owner or wntractor shall be required to obtain a permit for such connection,and sfiall 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 notifted. It shall be unlawful to cover
any connecting tine until an inspection has been made and such connection and the work incident thereto has been approved by tbe City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTtON
After the initial tonnection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupaM or user of such premises shall be liabie for all repairs
required to any water 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 shall be chasged for the costs of the maintenarne andjor
repairs,incfudi�g necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the appli�nt,
owner,occupant or user to perform standard mairrtenance of the sewer service line firom the premises to the main includirig debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that tt remains above the finished
grade of the tand or property. (Ref 638,1156,1191j