Meter Swap , Request Number: 12408
Public works Division
Service Request
Problem Address: 7330 Van Buren St Requested By: Cabel Yang
Department: WA'IER A,ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Namber: 651-343-5343
Schedeled Date: 2 -12-13 � _ Schedaled 1lme; 01:00:00
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ACITON NEEDED:AMR
Crested by: Wendy Hiatt Date Created: 2016-12-09
ACIION TAI�N•
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Status: In Progress ���er Has Been r
Co�acted
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Date Completed: Compieted by: ,J� :: .
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City of Fri ley
Water Depa ment �� r ��j
6431 University. venue NE � � �
• Fridley,MN 5432 !��-��UU Z��
763-572-3 66 � ��
�/We hereby authorize th City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for t e 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 empl yees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or t e curb stop box and service line. In understand 1 am also required
to obtain a permit p�ior to any work,if necessary.
FINAL METER READING(oid meter) � � �
Name: LJ�w� �G�,� Address ���� v�'1
Phone Number �`a C� �7� ����7 Date 2 '"�, l�
Signature Witness Si nature
OLD METER# �� 1 �� ��
OLD READING " l- 1� 1 �� V
NEW METER# �� �� D2v 3GI
NEW READING �
ERT# 10(,�� G �� �b
FRIDLEY CITY ODE
CHAPTER 402.WATER,STORM WA ER AND SANITARY SEWER
ADMINISTR ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to wnstructing or repair of any water of sewer line connecting the ex(st g municipal system and ar�y house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a pe it for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water an Sewer Departmerrt shall be notified. tt shall be unlawful to cover
any connecting line untii an inspection has been made and such connection a d the work inciderrt thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the wate�service curb stop box r the sewer lead at the property ifne or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or cupar�t or user of such premises shal{be liabie for aN repatrs
required to any water line a�d sewer lines�ecessary for connection of the pr mises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the prope owner shall be charged for the costs of the maintenance and/or
repairs,includin�necessary street repairs at a rate set annually by an adminis rative poliry. It shall be the responsibility of the applicant,
ow�er,occupant or user to perform standard mairrtenance of the sewer servi line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability a d at such height as will ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)