Meter Swap ti
� Request Number; 12399
Public works Division
Service Request
Problem Addr�sa: 7410 Van Buren St Requested By: Jack Sazri
Department: WATER Addreas: 7410 Van B�uen St
Fridley,MN SS432
Problem/Issne: INSTALL AMR METER Pho�Nnmber: 763-'�84-9323
Sc6ediiled e: 2016-12- Schednled'l�me: 10:00:00
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ACITON NEEDED:I�tall AMR
Created by: Beth I�ondrick Date Cre�ed: 2016-12-08
ACTION TAKLN:
�S�u � ��° � �'�, ��
Status: In Progcess Snbmitter Has Been �..,
Contncted
Dxte Completed: 12— , � "'�1 lQ Completed by: �� .
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City of Fridley
Water Department C �; � Cr 3 J
_ - 6431 University Avenue NE �
�. Fridtey,MN 55432
763-572-3566 ���"���-��ya--
I/we �rti�-l�- Sc.-vw�; hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace 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 hoid the C'rty 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 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) o � �� ���
Name: ��Ot.L�i- S��"r� Address `�� � 1 1 � '��Y:�N ��Ne f� S�
Phone Number �3 ' 7��` �3a 3 p� :12, 1-- ) (Q -- 1 1V ^
�5� nature � �'^��
'g � Witness Signature � �'�
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OLD METER# � � �� CO"�) �7
OLD READING �3 C4 'rj ��v
NEW METER# " 1� � I � J —I �
NEW READING �
E�# c� g8'7 �3a � �
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 FERMIT FEE
Prior to co�struding or repair of any water of sewer line connecting the existing municipal system and arry house or buildir�for which the
application is made,the owner or wrrtrector shall be required to obtain a permit for such connection,and shali pay a permit fee as provWed 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�ver
any connecting line until an inspection has been made and such connection and the wo�lc incident thereto has been appro�red by the Crty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
Aft@r the initiai connection has been made to the water service curb stop box or the sewer lead at the property iine or a water servic�lead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of wch premises shall 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 property awner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance andf or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main includi�de6ris clearing or
root cutting and to mairrtain the water service curb stop box fo�operability and at such height as wiil ensure that it remains above the finished
grade of the land or properly. (Ref 638,1156,1191)