Meter Swap ��
Request Number: 12429
Public Works Division
Service Request
Problem�,ddress: 7585 Van Buren St Requested By: Sandra Kuhl
Departme�: WATER Addres:: No address�ovided
Problem/Issnc: INSTAL.L AMR ME'IER P�one Number: 763-780=9675
Schednled Date: 2016-1 � Sc6edule�1lme:' 10:00:00
� '� �.
ACIION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-12-12
ACIION TAI�N:
.-I-h S'�#-ic��� c�- �YL� �.
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Statns: In Progress Sabmitter Hu Been r,
Ceutscted
Date Completed: ����� � � Con�pleted by: �j�����
City of Fridley /� � "'� �(
�a .
Water Department S l.>' � T J
• 6431 University.Avenue NE
Fridley,MN 55432
763-572-3566 � � �;��� /7(�'�
I/we �Gti�'��+lr'�1 ,��� � hereby authorize the City of Fridley and/or its employees to do what is necessary ta
replace the water meter. 1 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 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 aad service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ' ��4 ! ��
.
Name: . 3�Ca'l, d YL1. ���'�-1'� � Address � ��-J V U V� �.i/'�.�'� ��T,
:Phone Number /�'� ~ / �� 1��� Date ��� t��y ` �
�nature � �� � � )s�.� Witness Signature ��---"'
V -
OLD METER# I I�D t CXy�
OLD READING �O[-� t t w�
NEW METER# �� � `U�S�
NEW READING �
ERT# � C✓� U �� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAINITARY 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 wnnecting the existing municipal system and any house or building for which d�e
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shatl pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. It shail be uniavvful to cover
any wnnecting line untii an inspection has been made a�d such connection and the wo�lc incident 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 water service curb stop box or the sewer lead at the property line or a wate�r service lead has
been extended to the property line for connection,the applicaM,owner,or occupaM or us�r of wch premises shall be liabie far all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If�e properly owner
requests maiMenance service or repairs be perFormed by the City,the property owner shail be charged for the costs of the mairttenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applipM,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remai�u above the finished
grade of the land or property. (Ref 638,1156,1191)